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

Katherine L Black, LCSW

Individual provider Clinical Social Worker · NPI 1700342540

Katherine L Black, LCSW is a Clinical Social Worker in Orange Park, Florida. Qualified in 2014, 12 years ago. Practices with First Coast Psychiatric Services, PA, a 7-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2019
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

1543 Kingsley Ave Ste 14
Orange Park, FL 32073-4570
Phone: (904) 264-6977
Fax: (904) 269-0870
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW15161 (FL)

Record details

NPI number1700342540
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice First Coast Psychiatric Services, P.A. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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