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Contact Information

MELISSA L BLACK, LCSW
2200 PASEO VERDE PKWY STE 190
HENDERSON, NV89052-2703
 Phone: 573-330-9919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MELISSA L BLACK · (Female)

NPI Number 1053424770
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/16/2006
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 2005000353
  • MO Medicaid 497360107
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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