Jaylea Black, is a
Social Worker - Clinical based in Hays, Kansas. Jaylea Black is licensed to practice in Kansas (license number 05319) and her current practice location is
4320 Vine Street, Unit 80 - Pmb 191, Hays, Kansas. She can be reached at her office (for appointments etc.) via phone at
(785) 734-0292.
NPI number for Jaylea Black is 1285127530 and her current mailing address is 4320 Vine Street, Unit 80 - Pmb 191, Hays, Kansas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285127530.
Healthcare Provider's Profile
Full Name | Jaylea Black |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4320 Vine Street, Hays, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285127530
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 03/11/2024
Medical Identifiers
Medical identifiers for Jaylea Black such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285127530 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 752 (Kansas) | Secondary |
1041C0700X | Social Worker - Clinical | CSW.09927568 (Colorado) | Secondary |
1041C0700X | Social Worker - Clinical | 05319 (Kansas) | Primary |
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. Jaylea Black is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jaylea Black, 4320 Vine Street, Unit 80 - Pmb 191, Hays, KS 67601-3551 Ph: (785) 734-0292 | Jaylea Black, 4320 Vine Street, Unit 80 - Pmb 191, Hays, KS 67601-3551 Ph: (785) 734-0292 |
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