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

Leah Black, LCSW

Individual provider Clinical Social Worker · NPI 1003107731

Leah Black, LCSW is a Clinical Social Worker in Jackson, Wyoming. Qualified in 2004, 22 years ago. Accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
22
Licensed in
WY
In the registry since
2011
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

310 E Broadway Ave
Jackson, WY 83001-8636
Phone: (307) 654-7003
Fax: (307) 224-4973
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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 LCSW-742 (WY)

Record details

NPI number1003107731
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 28, 2011
Last updated in NPPESFebruary 18, 2015
Mailing addressPo Box 13572, Jackson, WY 83002-3572

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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