NPI 1003081365

Buck J Black, MSWLCSW

Practitioner Social Worker Lafayette, IN

Practice location

Address: 100 Saw Mill Rd STE 3102, Lafayette, IN 47905-5592
Phone: (765) 807-6778
Fax: (765) 807-6778

Registered specialties

Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 33005111A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1003081365
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Apr 2008
Record last updated: 6 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.