Emma Nicole Melo Black
Individual provider Active NPI Clinical Social Worker · Blanding, UT
NPI 1881245348 · NPPES record last updated Sep 26, 2019
Key facts
- NPI
- 1881245348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5274725-3503 (UT)
- Practice address
- 735 S 200 W Ste 1
Blanding, UT 84511-3923 - Phone
- (435) 678-2992
- Fax
- (435) 678-3116
- NPI assigned
- Sep 26, 2019
- Sex
- Female
- 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 |
|---|---|---|---|
| 5274725-3503 | UT | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5274725-3503 | UT | Yes |
Addresses
Primary practice location
735 S 200 W Ste 1
Blanding, UT 84511-3923
Mailing address
735 S 200 W Ste 1
Blanding, UT 84511-3923
Phone (435) 678-2992
Other providers in Blanding, UT
- Leilani Rose Begaye
- Jurea Ben
- Clydene Benally
- Joanna K. Bethea
- Janice Bitsoie
- Megan Louise Black
- Sterling Black
- Travis Black
- Morgan Blackhorse
- Generra Blake
All providers in Blanding, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2019. 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.