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

MS. Kendall Kristanne Paxman-Black, MSW, CSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1407697816

MS. Kendall Kristanne Paxman-Black, MSW, CSW is an Addiction (Substance Use Disorder) Counselor in Salt Lake City, Utah. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2024
Specialties on file
3
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

352 S Denver St Ste 350
Salt Lake City, UT 84111-3059
Phone: (801) 521-4227
Fax: (801) 359-0777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 370 S 500 E Ste 209, Clearfield, UT 84015-4063 — (801) 521-4227

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 10697151-3502 (UT)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 10697151-3502
Mental Health Counselor Taxonomy 101YM0800X · Licence 10697151-3502

Record details

NPI number1407697816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , CSW
Sole proprietorNo
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 3, 2024
Certification dateJune 2, 2024

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