MR. NICHOLAS J. BLACK LMSW NPI 1184764698

NPI Information

  • NPI: 1184764698
  • Provider Name: MR. NICHOLAS J. BLACK, LMSW
  • Classification: Social Worker - 1041S0200X
  • Specialization: School
  • Entity Type: Individual
  • Address: 350 MCNABB RD
    MORIARTY, NM
    ZIP 87035
  • Phone: (505) 638-5491

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NPI Details

MR. Nicholas J. Black, LMSW is a school social worker in Moriarty, NM. MR. Nicholas J. Black, LMSW NPI is 1184764698. 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:

350 MCNABB RD
MORIARTY, NM
ZIP 87035
Phone: (505) 638-5491
Fax: (505) 638-5571

The enumeration date for this NPI number is 2/7/2007 and was last updated on 9/25/2007.

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
11041S0200XSocial WorkerSchoolM-04746NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16281583MEDICAIDNEW MEXICO

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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