NPI 1003944117

Anthony Black, LCSW

Practitioner Clinical Social Worker Wilkes Barre, PA

Practice location

Address: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701
Phone: (570) 552-6000
Fax: (570) 552-6021
Mailing address: 110 S Pennsylvania Ave, Wilkes Barre, PA 18701-3301

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence CW014410 (PA)

Other Social Worker providers in Pennsylvania →

Registry record

NPI: 1003944117
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Mar 2007
Record last updated: 24 May 2018

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.