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

Kenli T Black, COMMUNITYPEER

Individual provider Community Health Worker · NPI 1548012297

Kenli T Black, COMMUNITYPEER is a Community Health Worker in Gardena, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1225 W 190th St Ste 280
Gardena, CA 90248-4305
Phone: (877) 515-8113
Show map & directions

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

Specialties & licences

Day Training/Habilitation Specialist (primary) Taxonomy 373H00000X
Community Health Worker Taxonomy 172V00000X

Record details

NPI number1548012297
Entity typeIndividual (Type 1)
GenderMale
Credentials COMMUNITYPEER
Sole proprietorYes
NPI enumeratedApril 4, 2024
Last updated in NPPESAugust 2, 2026
Certification dateJuly 16, 2025

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