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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 Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY E KAUL BLACK · (Female)

NPI Number 1215006598
Status Active
Credentials LCSW C
Entity Individual
Enumeration date 11/08/2006
Last updated 05/06/2021 - About 5 years ago
Sole proprietor 1 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(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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