Ms Laurel Elizabeth Black, LCSW in Layton, UT - Medicare Social Worker Provider

Ms Laurel Elizabeth Black, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Layton, Utah. Her current practice location is 934 S Main St, Layton, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 773-7060.

Ms Laurel Elizabeth Black is licensed to practice in Utah (license number 8605915-3501) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831536325.

Contact Information

	Ms Laurel Elizabeth Black, LCSW
	934 S Main St, Layton, UT 84041-7135
	(801) 773-7060
	Not Available

Healthcare Provider's Profile

Full Name	Ms Laurel Elizabeth Black
Gender	Female
Speciality	Social Worker - Clinical
Location	934 S Main St, Layton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831536325
Provider Enumeration Date: 05/24/2013
Last Update Date: 09/20/2016

Medicare PECOS Information:

PECOS PAC ID: 2062700586
Enrollment ID: I20161014001638

Medical Identifiers

Medical identifiers for Ms Laurel Elizabeth Black such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831536325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8605915-3501 (Utah)	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. Ms Laurel Elizabeth 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
Ms Laurel Elizabeth Black, LCSW 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060	Ms Laurel Elizabeth Black, LCSW 934 S Main St, Layton, UT 84041-7135 Ph: (801) 773-7060

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Social Worker in Layton, UT

Kelley Diane Irmen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Michele Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Jennifer Lynn Forbes, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
John David Larsen, CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Curtis M. Tesch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060
Alison Coburn, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1660 W Antelope Dr Ste 320, Layton, UT 84041 Phone: 801-773-4840
Brady D Olsen, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 934 S Main St, Layton, UT 84041 Phone: 801-773-7060

Ms Laurel Elizabeth Black, LCSW - Medicare Clinical Social Worker in Layton, UT