| Emma Nicole Melo Black, | |
| 735 S 200 W Ste 1, Blanding, UT 84511-3923 | |
| (435) 678-2992 | |
| (435) 678-3116 | 
| Full Name | Emma Nicole Melo Black | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 735 S 200 W Ste 1, Blanding, Utah | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881245348 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 5274725-3503 (Utah) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emma Nicole Melo Black, 735 S 200 W Ste 1, Blanding, UT 84511-3923 Ph: (435) 678-2992 | Emma Nicole Melo Black, 735 S 200 W Ste 1, Blanding, UT 84511-3923 Ph: (435) 678-2992 | 
| Thomas Andrews Lyman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 S Main St, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Mark E Lyman, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 S Main St, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Aaron Maaka Duke, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 735 S 200 W Ste 1, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Cherish Harvey,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 735 S 200 W Ste 1, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Jennifer Redd, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 S Main St, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Lauren Sloane Fife,  Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 S Main St, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 | |
| Craig Herzog, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 356 S Main St, Blanding, UT 84511 Phone: 435-678-2992 Fax: 435-678-3116 |