Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bronson Michael Black, LCSW

Individual provider School Counselor · NPI 1487392221

Bronson Michael Black, LCSW is a School Counselor in South Salt Lake, Utah. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-1841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Counselor (primary) Taxonomy 101YS0200X

Record details

NPI number1487392221
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 23, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address5929 S Hummel Dr, Kearns, UT 84118-6031

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