NPI 1184764698

Nicholas J. Black, LMSW

Practitioner School Social Worker Moriarty, NM

Practice location

Address: 350 McNabb Rd, Moriarty, NM 87035
Phone: (505) 638-5491
Fax: (505) 638-5571
Mailing address: PO Box 1395, Moriarty, NM 87035-1395

Registered specialties

School Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041S0200X Licence M-04746 (NM)

Other Social Worker providers in New Mexico →

Registry record

NPI: 1184764698
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2007
Record last updated: 25 Sep 2007

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.