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

MS. JERRILYN BLACK, LICSW

Active Sole Proprietor

MS. JERRILYN BLACK, LICSW is a Clinical Social Worker healthcare provider located in WASHINGTON, Washington D.C.. NPI 1831758374 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · WASHINGTON, DC

Registration Details

NPI Number
1831758374
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2019 (7.164177564371 yrs)
Last Updated
Jan 19, 2020
License
LC50081921 (DC)
Sole Proprietor
Yes

Practice Information

Address
6645 GEORGIA AVE NW APT 201
WASHINGTON, DC, 200122539
Browse DC providers · Browse ZIP 20012
Phone
8172051283
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in WASHINGTON, DC

Name Credential NPI
DONALD ZUCKERMAN MSW 1164420535
BABETTE WISE 1023017100
LISA JOAN REARDON LICSW 1598765257
HOPE GRANDE 1376535088
MS. MARYANN FOSTER LCSW-C 1083602460
MS. HATTIE ANNA PETERSON MSW, LICSW 1326039041
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.