KELLY BLACK, LISW

Social Worker - Clinical

Active Individual
NPI: 1518278209

Practice Address

1744 PAYNE AVE
Cleveland, OH 44114

Phone: (216) 623-6555

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes I.1700442 (OH)
Social Worker 104100000X No S.0900906 (OH)

Frequently Asked Questions

NPI 1518278209 is the National Provider Identifier for KELLY BLACK, LISW, a Social Worker - Clinical provider located in Cleveland, OH. This NPI was enumerated on June 28, 2010.
KELLY BLACK, LISW practices at 1744 PAYNE AVE, Cleveland, OH 44114.

Quick Facts

NPI
1518278209
Type
Individual
Enumerated
Jun 28, 2010
Last Updated
Jan 12, 2023

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