NPIMap

Organization Active NPI

Black Therapy

  • Clinical Social Worker
  • Tuscaloosa, AL
National Provider Identifier
1740877331
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BLACK THERAPY
Practice address
1925 8TH Ave
Apt 1F
Tuscaloosa, AL 35401
Phone
(205) 614-3959
NPI assigned
Dec 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Authorized official

Name
Shabrekia Neal, LICSW, CPTNPI 1790382927
Title
Social Worker/ Owner
Phone
(205) 614-3959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1925 8TH Ave
Apt 1F
Tuscaloosa, AL 35401

Mailing address

1655 McFarland Blvd N Ste 198
Tuscaloosa, AL 35406-2212

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1740877331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 MCFARLAND BLVD N STE 198",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 8TH AVE",
            "address_2": "APT 1F",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "35401",
            "telephone_number": "205-614-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "SHABREKIA",
        "authorized_official_title_or_position": "SOCIAL WORKER/ OWNER",
        "authorized_official_telephone_number": "205-614-3959",
        "authorized_official_credential": "LICSW, CPT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.