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Contact Information

ALYSSA N BLACK, LCSW
5455 W 11000 N STE 201
HIGHLAND, UT84003-8820
 Phone: 801-449-0017
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for ALYSSA N BLACK · (Female)

NPI # 1821635095
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/05/2019
Last updated 05/28/2026 - About 2 weeks ago
Sole proprietor 1 No
Identifiers Not Available
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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