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

Mrs. Alexa Marie Black, LCSW, PMH-C

Individual provider Counselor · NPI 1255998589

Mrs. Alexa Marie Black, LCSW, PMH-C is a Counselor in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-5529
Show map & directions

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

Additional practice locations (1)

  • 915 Stonehenge Dr, North Salt Lake, UT 84054-6001 — (801) 662-5529

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11599470-3501 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1255998589
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , PMH-C
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESApril 20, 2024
Certification dateApril 20, 2024

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