Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184764698 Individual Practitioner Male Practitioner

Nicholas J. Black , LMSW

Social Worker - School • Moriarty, NM

Professional Overview & Biography Verified Profile Summary

Nicholas Black, LMSW is a registered healthcare professional specializing in Social Worker - School in Moriarty, NM. Practice services are available at 350 MCNABB RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 Mcnabb Rd

Moriarty, NM 87035

Telephone 5056385491
Fax 5056385571

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - School in Moriarty, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.5 Yrs
Regional Practice Density
3 Specialists

Practicing in Moriarty, NM (556 Statewide)

Telehealth Adoption Rate
0.0% 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 - School Primary Specialty

NUCC Taxonomy Code: 1041S0200X

State License NM M-04746

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6281583 (NM)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 25, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location September 25, 2007

Registered at 350 MCNABB RD, MORIARTY, NM 87035 (Tel: 5056385491)

📍
Updated Business Mailing Address September 25, 2007

Registered at PO BOX 1395, MORIARTY, NM 870351395 (Tel: 5058324529)

👤
Provider Name / Credentials Updated September 25, 2007

Recorded as NICHOLAS BLACK, LMSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 25, 2007

Social Worker (License #M-04746 in NM)

🟢
Initial NPI Registration & Enumeration February 07, 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: 1184764698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2007
Last Update: September 25, 2007
Sole Proprietor: No

Mailing Address

Po Box 1395

Moriarty, NM 870351395

Phone: 5058324529

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.