| Doctor Name: | JOSEPH W BLACK |
| NPI Number: | 1003189663 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 6801068705 |
| Business Practice Address: | 5005 N Piedras St William Beaumont Army Medical Center El Paso, TX - 799205001 |
| Business Phone Number: | 9157426382 |
| Business Fax Number: | 9155694890 |
| Mailing Address: | 5005 N Piedras St, William Beaumont Army Medical Center EL PASO |
| State: | TX |
| Postal Code: | 799205001 |
| Phone Number: | 9157426382 |
| Fax Number: | 9155694890 |
| NPI Enumeration Date: | 02/13/2012 |
| NPI Last Update Date: | 02/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 6801068705 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |