Lance H Black, LBSW
Individual provider Active NPI School Social Worker · Aztec, NM
NPI 1497632095 · NPPES record last updated Aug 18, 2025
Key facts
- NPI
- 1497632095
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Social Worker 1041S0200X
- License
- SWB-2025-0657 (NM)
- Practice address
- 455 N Light Plant Rd
Aztec, NM 87410-1517 - Phone
- (505) 334-6102
- NPI assigned
- Aug 18, 2025
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SWB-2025-0657 | NM | MD | School Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | SWB-2025-0657 | NM | Yes |
Addresses
Primary practice location
455 N Light Plant Rd
Aztec, NM 87410-1517
Mailing address
4 Road 3459
Flora Vista, NM 87415-9667
Phone (505) 278-3400
Other providers in Aztec, NM
- Dana Kay Bearden
- Stacey Marie Bentley
- William Beyhan
- Julie Bisbee
- Racine Bitsoi
- Sylvia Bowen
- Tori Lynn Brown
- Sara Burcham
- Cedric Butler
- Amber Button
All providers in Aztec, NM · School Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2025. 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.