Mr Stephen Leon Black, SUDCC-III is a
Adult Companion based in Grass Valley, California. Mr Stephen Leon Black is licensed to practice in California (license number ) and his current practice location is
500 Crown Point Cir, Grass Valley, California. He can be reached at his office (for appointments etc.) via phone at
(530) 273-5440.
NPI number for Mr Stephen Leon Black is 1962848093 and his current mailing address is 500 Crown Point Cir, Grass Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962848093.
Healthcare Provider's Profile
| Full Name | Mr Stephen Leon Black |
|---|
| Gender | Male |
|---|
| Speciality | Adult Companion |
|---|
| Location | 500 Crown Point Cir, Grass Valley, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962848093
- Provider Enumeration Date: 05/15/2013
- Last Update Date: 09/25/2026
Medical Identifiers
Medical identifiers for Mr Stephen Leon Black such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962848093 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 156325 I (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 7537 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | B1006171257 (California) | Secondary |
| 372600000X | Adult Companion | (California) | 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. Mr Stephen Leon 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 |
|---|
Mr Stephen Leon Black, SUDCC-III
500 Crown Point Cir,
Grass Valley, CA 95945-9561
Ph: (530) 273-5440 | Mr Stephen Leon Black, SUDCC-III
500 Crown Point Cir,
Grass Valley, CA 95945-9561
Ph: (530) 273-5440 |
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