Individual provider · NPI-1

Kami Black

Social Worker, Clinical · Kaysville, UT

NPI number1992136550
StatusActive
Last updated in NPPESDec 9, 2013

Details

NPI
1992136550
Entity type
Individual (NPI-1)
Name
Kami Black
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 9, 2013
Last updated
Dec 9, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical5061350-3501UTYes

Practice location

141 W Gailey Ln
Kaysville, UT 84037-1937

Phone 801-867-4292

Mailing address

141 W Gailey Ln
Kaysville, UT 84037-1937

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.

Other Social Worker, Clinical providers in Kaysville, UT