RANDALL CARL BLACK LCSW NPI 1043322068

NPI Information

  • NPI: 1043322068
  • Provider Name: RANDALL CARL BLACK, LCSW
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1610 CALICO CANYON LN
    PEARLAND, TX
    ZIP 77581
  • Phone: (281) 450-7724

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NPI Details

Randall Carl Black, LCSW is a clinical social worker in Pearland, TX. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. Randall Carl Black, LCSW NPI is 1043322068. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1610 CALICO CANYON LN
PEARLAND, TX
ZIP 77581-574
Phone: (281) 450-7724
Fax: (866) 642-6202

The NPI 1043322068 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 3/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerS23276TEXASNo
2171M00000XCase Manager/Care Coordinator23276TEXASNo
31041C0700XSocial WorkerClinicalS23276TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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