IndividualActive
Agnes Black, LCSW
NPI 1730332487 · Clinical Social Worker · Hartford, CT
Provider details
- NPI number
- 1730332487
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 231744423 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
500 Vine St
Capitol Region Mental Health Center
Hartford, CT 06114
Phone: (860) 297-0905
Fax: (860) 297-0931
Approximate (ZIP-level) locationGet directions
Mailing address
500 Vine Street
Hartford, CT 06114
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2008-10-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.