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

Christine Marie Black, MSWLCSW

Individual provider Clinical Social Worker · NPI 1073814828

Christine Marie Black, MSWLCSW is a Clinical Social Worker in Potosi, Missouri. Qualified in 2006, 20 years ago. Practices with Bjc Behavioral Health, a 64-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
20
Licensed in
MO
In the registry since
2010

Practice location Address checks out

1 Kwan Plz
Potosi, MO 63664-1435
Phone: (573) 438-0751
Fax: (573) 438-5460
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2008009619 (MO)

Record details

NPI number1073814828
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSWLCSW
Sole proprietorYes
NPI enumeratedNovember 10, 2010
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Bjc Behavioral Health — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Potosi