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

Shanequa Black

Individual provider Clinical Social Worker · NPI 1093597510

Shanequa Black is a Clinical Social Worker in Sherman Oaks, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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Practice location Address checks out

4401 Sepulveda Blvd Unit 210
Sherman Oaks, CA 91403-3934
Phone: (562) 392-0011
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Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW114986 (CA)

Record details

NPI number1093597510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 18, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023
Mailing address1801 E Katella Ave Apt 4167, Anaheim, CA 92805-6673

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