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

Individual provider Clinical Social Worker · NPI 1265039416

Dajah Black, MSW, LCSW is a Clinical Social Worker in Charlotte, North Carolina. Qualified in 2020, 6 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
6
Licensed in
NC
In the registry since
2020
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

13211 Cameron Grove Loop Apt 206
Charlotte, NC 28262-2832
Phone: (704) 493-5514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 101 N Tryon St Ste 600, Charlotte, NC 28246-0100 — (415) 424-4266

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C016878 (NC)

Record details

NPI number1265039416
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedOctober 1, 2020
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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