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

Mr. William Jesse Black, LICSW, LADC, BCD

Individual provider Clinical Social Worker · NPI 1972716314

Mr. William Jesse Black, LICSW, LADC, BCD is a Clinical Social Worker in Barstow, California. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

271 Cypress Dr
Barstow, CA 92311
Phone: (507) 732-4136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 300555 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4476 (MN)

Record details

NPI number1972716314
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LADC , BCD
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESJune 21, 2021
Certification dateJune 21, 2021

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