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

Individual provider Clinical Social Worker · NPI 1831758374

MS. Jerrilyn Black, LICSW is a Clinical Social Worker in Washington, District of Columbia. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2019
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

6645 Georgia Ave NW Apt 201
Washington, DC 20012-2539
Phone: (817) 205-1283
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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 LC50081921 (DC)

Record details

NPI number1831758374
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJune 9, 2019
Last updated in NPPESJanuary 19, 2020
Certification dateJanuary 19, 2020

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