Alexia Black, LCSW
Individual provider Active NPI Clinical Social Worker · Palmetto, FL
NPI 1821885609 · NPPES record last updated Jun 2, 2025
Key facts
- NPI
- 1821885609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW22001 (FL)
- Practice address
- 6328 Milestone Loop
Palmetto, FL 34221-3968 - Phone
- (813) 585-3020
- NPI assigned
- Apr 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| SW22001 | FL | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | SW22001 | FL | Yes |
Addresses
Primary practice location
6328 Milestone Loop
Palmetto, FL 34221-3968
Mailing address
PO Box 148
Parrish, FL 34219-0148
Other providers in Palmetto, FL
- Jennifer Elizabeth Benitez
- Best Value Healthcare LLC
- Beyond Care
- Bio-Medical Applications of Florida, Inc.
- Kristine Saez Bittinger
- Brittany Blalock
- Anoul Blanc
- Body in Balance, Inc.
- Bold Sports Medicine
- Daniel James Bonomo
All providers in Palmetto, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 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.