Individual provider Active NPI

Joel M Black, LCSW

  • Clinical Social Worker
  • Saint Charles, MO
National Provider Identifier
1144889650
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2019040488 Issued in MO
Practice address
3324 Rue Royale St
Saint Charles, MO 63301-8321
Phone
(314) 643-6172
NPI assigned
Jun 8, 2019
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
490074023MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200331002551 MO Practitioner - Clinical Social Worker 9638508302 Reassigns benefits to 2 organizations
I20250821004258 IL Practitioner - Clinical Social Worker 9638508302 Reassigns benefits to 1 organization

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
Nexumhc Consultants, PLLCGroup PAC ID 5698134005, 13 clinicians

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

LicenseStateTypeSpecialty
2019040488MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Redemption Counseling, LLC Clinical CurrentSince Feb 19, 2020 Accepting new patients
Nexumhc Mo CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients
Nexumhc Consultants, PLLC Clinical CurrentSince Jul 1, 2025 Accepting new patients
Balanced Life Counseling & Consulting PastSince Mar 1, 2021 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.

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

Verify at the official NPI Registry.