Katherine L Black, LCSW in Orange Park, FL - Medicare Clinical Social Worker Provider

Katherine L Black, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Orange Park, Florida. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice First Coast Psychiatric Services, P.a. and her current practice location is 1543 Kingsley Ave Ste 14, Orange Park, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 264-6977.

Katherine L Black is licensed to practice in Florida (license number SW15161) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1700342540.

Contact Information

	Katherine L Black, LCSW
	1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570
	(904) 264-6977
	(904) 269-0870

Map and Direction

Healthcare Provider's Profile

Full Name	Katherine L Black
Gender	Female
Speciality	Clinical Social Worker
Experience	11 Years
Location	1543 Kingsley Ave Ste 14, Orange Park, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katherine L Black graduated from medical school in 2014

NPI Data:

NPI Number: 1700342540
Provider Enumeration Date: 02/18/2019
Last Update Date: 02/18/2019

Medicare PECOS Information:

PECOS PAC ID: 5395084925
Enrollment ID: I20190226002975

Medical Identifiers

Medical identifiers for Katherine L Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700342540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW15161 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Coast Psychiatric Services, P.a.	9133441421	8

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Katherine L Black allows following entities to bill medicare on her behalf.

Entity Name	North Florida Assessment And Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508978867 PECOS PAC ID: 8426235953 Enrollment ID: O20110608000767

Entity Name	First Coast Psychiatric Services, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104222801 PECOS PAC ID: 9133441421 Enrollment ID: O20141121001550

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine L Black is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Katherine L Black, LCSW 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 Ph: (904) 264-6977	Katherine L Black, LCSW 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 Ph: (904) 264-6977

Reviews and Comments

Social Worker in Orange Park, FL

Elizabeth Dowell Pascoe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 133 Stowe Ave, Orange Park, FL 32073 Phone: 904-269-0886 Fax: 904-269-0499
Domonique Jackson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 752 Blanding Blvd Ste 130, Orange Park, FL 32065 Phone: 904-637-5297
Kerri Anne Evans, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1532 Kingsley Ave Ste 112, Orange Park, FL 32073 Phone: 904-214-3222 Fax: 904-621-9140
Emma Irwin Mckean, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 358 Stiles Ave Ste B, Orange Park, FL 32073 Phone: 904-264-8311 Fax: 042-648-3779
Megan Marie Dunne, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1532 Kingsley Ave Ste 112, Orange Park, FL 32073 Phone: 904-214-3222
Ms. Karen Joyce Martin, MSW,LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 423 Saturn Ln W, Orange Park, FL 32073 Phone: 904-651-5576
Carl F Holmes, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1409 Kingsley Ave Ste 8, Orange Park, FL 32073 Phone: 904-269-7200 Fax: 904-269-0070

Katherine L Black, LCSW - Medicare Clinical Social Worker in Orange Park, FL