IndividualActive
Alyssa Black, LCSW
NPI 1821635095 · Clinical Social Worker · Highland, UT
Provider details
- NPI number
- 1821635095
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
5455 W 11000 N Ste 201
Highland, UT 84003-8820
Phone: (801) 449-0017
Approximate (ZIP-level) locationGet directions
Mailing address
5455 W 11000 N
Highland, UT 84003-8800
Registry dates
- Enumerated
- 2019-12-05
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.