Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972652303 Deactivated / Inactive NPI Female Practitioner

Phyllis Black , MSW LCSW ACSW

Social Worker • Cherry Hill, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Phyllis Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 08, 2007
NPI Deactivation Date June 26, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Phyllis Black, MSW LCSW ACSW was a registered Social Worker practicing in Cherry Hill, NJ. Throughout an active medical career spanning 13 years, Phyllis Black provided care at the practice location at 1500 KINGS HIGHWAY NORTH until profile deactivation on 2020-06-26.

Practice Location & Contact Primary Location

Practice Address

1500 Kings Highway North
Suite C 208

Cherry Hill, NJ 08034

Telephone 8564276703
Fax 8564276703

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Cherry Hill, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
69 Specialists

Practicing in Cherry Hill, NJ (4301 Statewide)

Telehealth Adoption Rate
1.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License PA SW006984L

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 26, 2020

Record deactivated on June 26, 2020

NPI Profile Active September 19, 2012

NPI status registered as active in NPPES database

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Updated Practice Location September 19, 2012

Registered at 1500 KINGS HIGHWAY NORTH, SUITE C 208, CHERRY HILL, NJ 08034 (Tel: 8564276703)

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Updated Business Mailing Address September 19, 2012

Registered at 101 MANSFIELD BLVD SOUTH, CHERRY HILL, NJ 08034 (Tel: 8564281247)

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Provider Name / Credentials Updated September 19, 2012

Recorded as PHYLLIS BLACK, MSW LCSW ACSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2012

Social Worker (License #SW006984L in PA)

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Initial NPI Registration & Enumeration January 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1972652303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2007
Last Update: September 19, 2012
Deactivation Date: June 26, 2020

Mailing Address

101 Mansfield Blvd South

Cherry Hill, NJ 08034

Phone: 8564281247

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.