Ryan Noel Black, L.S.W
Individual provider Active NPI Clinical Social Worker · Uniontown, OH
NPI 1093249104 · NPPES record last updated Nov 6, 2018
Key facts
- NPI
- 1093249104
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S.1601260 (OH)
- Practice address
- 1560 Corporate Woods Pkwy
Uniontown, OH 44685-8730 - Phone
- (330) 208-2720
- Fax
- (330) 208-2721
- NPI assigned
- Apr 14, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1601260 | OH | MD | Social Worker |
| S.1601260 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 1601260 | OH | |
| Clinical Social Worker | 1041C0700X | S.1601260 | OH | Yes |
Addresses
Primary practice location
1560 Corporate Woods Pkwy
Uniontown, OH 44685-8730
Mailing address
2215 E Waterloo Rd Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0304759 | Medicaid | OH |
Other providers in Uniontown, OH
- Lori Bentz
- Emily Berbari
- Megan Berry
- Tracy Lynn Bigelow
- Bio-Medical Applications of Ohio, Inc.
- Sally Mae Blair
- Cathy Renee Blake
- Kelly Renee Blake
- Michael Bloom
- Boggs Chiropractic LLC
All providers in Uniontown, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.