National Provider Identifier Database

MARY E KAUL BLACK, LCSW C – NPI #1215006598
Clinical

A social worker who holds a master?s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master?s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.


Contact Information

MARY E KAUL BLACK, LCSW C
314 FRANKLIN AVE
SUITE 306
BERLIN, MD21811
Phone: 410-973-2525
Fax: 410-973-2527
Website:
Specialty Taxonomy Code
* Clinical 1041C0700X

* Indicates primary specialty

NPI Profile & details for MARY E KAUL BLACK

NPI Number 1215006598
Credentials LCSW C
Entity Individual
Enumeration date 11/08/2006
Last updated 05/06/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • MD License #: 11018
  • MD Medicaid: 609550001
  • Other: 100075562001 AMERICAN PSYCH SYSTEM
  • Other: R968 CARE1ST FEDERAL GROUP DC
  • Other: 0006 CAREFIRST FEDERAL PIN DC
  • Other: 724333 NCPPO PIN
  • Other: 517251 UHC MAMSI GROUP #
  • Other: 2101170 UNITED HEALTH CARE MAMSI
  • MD Other: 522156095 AETNA
  • MD Other: LM49EA CAREFIRST BCBS GROUP
  • MD Other: 60956202 CAREFIRST BCBS PIN
  • MD Other: 259147000 MAGELLAN GROUP
  • MD Other: 269292000 MAGELLAN PIN
  • MD Other: 522156095 UNITED BEHAVIORAL HEALTH
Hospital affiliation n/a

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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