Active NPI
Joel M Black, LCSW
- Clinical Social Worker
- Saint Charles, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2019040488
- Practice address
- 3324 Rue Royale St
Saint Charles, MO 63301-8321 - Phone
- (314) 643-6172
- NPI assigned
- Jun 8, 2019
- Last updated
- Sep 12, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2019040488 | MO | Primary |
| Clinical Social Worker | 1041C0700X | 149.021964 | IL |
Addresses
Primary practice location
3324 Rue Royale St
Saint Charles, MO 63301-8321
Mailing address
3324 Rue Royale St
Saint Charles, MO 63301-8321
Phone (314) 643-6172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490074023 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3324 Rue Royale St
Suite 1164
Saint Charles, MO 63301-8321
Phone (314) 643-6172
7373 N Lincoln Ave
Lincolnwood, IL 60712-1704
Phone (773) 945-1994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019040488 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redemption Counseling, LLC | Clinical | Current | Accepting new patients |
| Nexumhc Mo | Current | Accepting new patients | |
| Mental Health Specialty Group PA | Current | Accepting new patients | |
| Nexumhc Consultants, PLLC | Clinical | Current | Accepting new patients |
| Balanced Life Counseling & Consulting | Past | Accepting new patients |
Locations
7373 N Lincoln Ave
Lincolnwood, IL 60712
Phone (773) 887-6150
117 S Lexington St
Ste 100
Harrisonville, MO 64701
Phone (844) 902-2554
3324 Rue Royale St
Saint Charles, MO 63301
Phone (314) 643-6172
3324 Rue Royale St
#1164
Saint Charles, MO 63301
Phone (314) 643-6172
3324 Rue Royale St
Ste 1164
Saint Charles, MO 63301
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Saint Charles, MO
- NPI 1063045995
-
- Clinical Social Worker
- Lincolnwood, IL
- NPI 1851082598
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MO
-
- Clinical Psychologist
- Harrisonville, MO
- NPI 1558187179
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1710414271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757635200000",
"number": "1144889650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 RUE ROYALE ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633018321",
"telephone_number": "314-643-6172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 RUE ROYALE ST",
"city": "SAINT CHARLES",
"state": "MO",
"postal_code": "633018321",
"telephone_number": "314-643-6172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "JOEL",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-08",
"last_updated": "2025-09-12",
"certification_date": "2025-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2019040488",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149.021964",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "490074023",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Charles, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.