Matthew James Black
Matthew James Black is a Clinical Social Worker in South Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2023.
- Licensed in
- UT
- In the registry since
- 2023
Practice location Address checks out
331 W 2700 SSouth Salt Lake, UT 84115-2904
Phone: (801) 678-3317
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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 11705657-3502 (UT) |
|---|
Record details
| NPI number | 1639941925 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 30, 2023 |
| Last updated in NPPES | May 29, 2024 |
| Certification date | May 29, 2024 |
| Mailing address | 331 W 2700 S, South Salt Lake, UT 84115-2904 |
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