ERIC BLACK


Address: 51 Market St, Bangor, PA 18013-1901
Phone: 6105889109

ERIC BLACK (NPI# 1831528066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831528066
Entity Type Individual
Full Name ERIC BLACK
Credential LSW
Practice Address 51 Market St
Bangor
PA 18013-1901
Practice Telephone 6105889109
Mailing Telephone 6105889109
Enumeration Date 2013-11-07
Last Update Date 2013-11-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 104100000X Social Worker SW130486 PA Behavioral Health & Social Service Providers

Other Providers ERIC BLACK

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1174000285 Eric Black Pharmacist 657 Us Highway 101 N, Crescent City, CA 95531-2306 2018-07-20
1730526013 Eric J Black Counselor 1261 Chaffer Dr, Rochester Hills, MI 48306-3714 2013-05-28
1962874792 Eric Black Physician Assistant 1650 Dixwell Ave, Hamden, CT 06514-3615 2015-10-20
1982863338 Eric M Black Orthopaedic Surgery 140 Park Ave, Florham Park, NJ 07932-1049 2008-06-02
1245323005 Eric Richard Black Psychiatry & Neurology 901 W Jefferson St, Springfield, IL 62702-4833 2006-10-02
1598877961 Eric Lee Black Pharmacist 2339 Broadway St, Mount Vernon, IL 62864-2925 2006-08-31
1154364305 Eric Black Dentist 2920 N 4th St, Flagstaff, AZ 86004-1816 2006-06-14

Office Location

Street Address 51 MARKET ST
City BANGOR
State PA
Zip Code 18013-1901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457386328 Methodist Services Counselor 51 Market St, Bangor, PA 18013-1901 2006-07-11
1467090951 Ruthanne Taggart Counselor 51 Market St, Bangor, PA 18013-1901 2019-12-15
1033615240 Kimberly Niyogi Counselor 51 Market St, Bangor, PA 18013-1901 2018-04-05
1912387200 Wendy Watkins Counselor 51 Market St, Bangor, PA 18013-1901 2015-06-02
1285064279 Jayson Leeman Counselor 51 Market St, Bangor, PA 18013-1901 2013-11-12
1033545611 Dody Star Siegfried Counselor 51 Market St, Bangor, PA 18013-1901 2013-09-16
1396088662 Andrea Jean Miles Counselor 51 Market St, Bangor, PA 18013-1901 2013-04-04
1033457221 Lisa Michele Willson Counselor 51 Market St, Bangor, PA 18013-1901 2013-01-22
1932457447 Alexander Szoke-benton Counselor 51 Market St, Bangor, PA 18013-1901 2012-08-15
1396013926 Dale A English Counselor 51 Market St, Community Couseling, Bangor, PA 18013-1901 2011-12-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104298140 Blue Valley Vision LLC Eyewear Supplier (Equipment, not the service) 455 Blue Valley Dr, Bangor, PA 18013 2015-10-29
1588064554 Roxanne Decesare Reflexologist 429 South First St, Bangor, PA 18013 2014-08-27
1467781708 Shadys Rest Preferred Provider Organization 1004 W Juniata Street, Allentown, PA 18013 2009-12-16
1912911371 Richard J Weaver Chiropractor 83 Bangor Junction Road, Blue Valley Plaza, Bangor, PA 18013 2006-07-28
1104373265 Heavenly Vision Technician/Technologist 455 Blue Valley Dr, Bangor, PA 18013 2016-09-07
1881059293 Timothy James Velekei Sr. Technician/Technologist 455 Blue Valley Dr, Bangor, PA 18013 2015-12-30
1629492608 Elizabeth Kostura Counselor 51 Market Street, Bangor, PA 18013 2014-02-11
1518261593 Carol Augusta Olzinski Social Worker 51 Market Street, Bangor, PA 18013 2011-01-05
1073846390 Christa Robinson Specialist/Technologist 19 Columbus St, Apt 3, Roseto, PA 18013 2009-09-18
1326096587 Matthew Nicholas Sabatine Jr. Dentist 137 Broadway, Bangor, PA 18013 2006-05-04
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750896312 Savanna Rae Power Social Worker 1200 Ohio St., Bangor, ME 04402 2017-12-05
1265983290 Alison S Mitchell Social Worker 61 Main St Ste 60, Bangor, ME 04401-6469 2016-10-14
1609210400 Leroy Freeman Jr. Social Worker 32001 County Road 687, Bangor, MI 49013-9476 2013-04-23
1306141593 Sean E Weber Social Worker 370 Harlow St, Bangor, ME 04401-4908 2011-01-19
1487975801 Angela Madden Social Worker 444 Stillwater Avenue, Suite 204, Kidspeace National Centers of New England, Inc., Bangor, ME 04401 2010-06-21
1740470871 Eric C Taylor Social Worker 88 Hammond, Suite 201, Bangor, ME 04401 2007-07-25
1275660979 Manna Inc Social Worker 629 Main Street, Bangor, ME 04401 2007-02-28
1891855920 Leta Myers Social Worker 263 State St Ste 23, Bangor, ME 04401-5438 2006-12-11
1902917198 Carol Romeo Veits Social Worker 96 Harlow St Ste 221, Bangor, ME 04401 2006-08-31
1366051898 Kasie M Broe Social Worker 52101 34th Avenue, Bangor, MI 49013 2020-07-30
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Competitor

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City BANGOR
Zip Code 18013

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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