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BLACK & MENTAL HEATLH LLC NPI 1881216968


NPI Information

NPI: 1881216968
Provider Name: BLACK & MENTAL HEATLH, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
96 SILVER LN APT B7
EAST HARTFORD, CT
ZIP 06118
Phone: (203) 536-3199
Get Directions

BLACK & MENTAL HEATLH, LLC is a clinical social worker in East Hartford, CT. 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. BLACK & MENTAL HEATLH, LLC NPI is 1881216968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

96 SILVER LN APT B7
EAST HARTFORD, CT
ZIP 06118-006
Phone: (203) 536-3199

The provider's authorized official is Jayann L Pinto-samuda .
The authorized official title is Therapist and has the following contact phone number (203) 536-3199.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 5/12/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerNo
21041S0200XSocial WorkerSchoolNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
6261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
71041C0700XSocial WorkerClinicalYes

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: 4/28/2024

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