Rosalind Tikvah Black, ASW
Social Worker in San Rafael, CA. Individual provider (NPI-1).
NPI number1750107983
StatusActive
Last updated in NPPESDec 5, 2024
Details
- NPI
- 1750107983
- Entity type
- Individual (NPI-1)
- Name
- Rosalind Tikvah Black
- Credential
- ASW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2024
- Certification date
- Dec 5, 2024
- Last updated
- Dec 5, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 127118 | CA | Yes |
Practice location
1466 Lincoln AveSan Rafael, CA 94901-2021
Phone 415-457-3755
Mailing address
1466 Lincoln AveSan Rafael, CA 94901-2021
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Social Worker providers in San Rafael · All 3,698 providers in San Rafael
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