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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANDRA E BLACK, LCSW

Active

SANDRA E BLACK, LCSW is a Clinical Social Worker healthcare provider located in PORT WASHINGTON, Wisconsin. NPI 1407803489 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PORT WASHINGTON, WI

Registration Details

NPI Number
1407803489
Provider Type
Individual
Gender
Female
NPI Issued
May 27, 2006 (20.174485747109 yrs)
Last Updated
Oct 18, 2007
License
1607-123 (WI)

Practice Information

Address
1317 W GRAND AVE
PORT WASHINGTON, WI, 530742075
Browse WI providers · Browse ZIP 53074
Phone
2622845789
Fax
2622845907
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PORT WASHINGTON, WI

Name Credential NPI
PAUL GRADY LCSW 1902897010
NANCY LATTON LCSW 1528059912
DAVID MERRIFIELD LCSW 1437140829
SANDRA JACQUES LCSW 1154312544
BETSY A KENDZIORSKI LCSW 1861446320
DENNIS J ANDERSON LCSW CADCIII 1265479257
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.