LEAH BLACK LCSW
NPI 1003107731
Social Worker - Clinical in Jackson, WY

Active since April 28, 2011PECOS EnrolledAccepts Medicare Assignment
310 E BROADWAY AVE, JACKSON, WY 83001(307) 654-7003(307) 224-4973 Get Directions Write a Review

NPPES record last updated: February 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leah Black Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEAH BLACK LCSW (NPI 1003107731) is an individual clinical provider in Jackson, Wyoming, licensed in Wyoming (LCSW-742) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1003107731
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLEAH BLACKCredential: LCSW
Location Address310 E BROADWAY AVEJackson, WY 83001-8636
Mailing AddressPo Box 13572Jackson, WY 83002-3572 · (307) 654-7003 · Fax (307) 224-4973
Fax(307) 224-4973
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateApril 28, 2011
Last NPPES UpdateFebruary 18, 2015
NPI 1003107731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WY · LCSW-742
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
310 E BROADWAY AVE, Jackson, WY 83001

Other Names 1

Other Name (5)Leah Hurst Lcsw

Other Identifiers 1

Medicaid117699400WY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Leah Black Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305167917
PECOS Enrollment IDI20150617002976
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83001 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.42 – $170.72
Typical copayment $0.00 (range $14.10 – $42.68)
Most-billed visit code NA
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Occupational Therapist
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Behavior Technician
310 E BROADWAY AVE
JACKSON, WY 83001
Marriage & Family Therapist
310 E BROADWAY AVE
JACKSON, WY 83001
Occupational Therapist
310 E BROADWAY AVE
JACKSON, WY 83001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leah Black's NPI number?

The NPI number for Leah Black is 1003107731. It was assigned to this individual provider in the NPPES registry on April 28, 2011. The provider is also known as Leah Hurst Lcsw.

Where is Leah Black located?

Leah Black practices at 310 E Broadway Ave, Jackson, WY 83001. The listed phone number is (307) 654-7003.

What is Leah Black's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Leah Black enrolled in Medicare?

Yes. Leah Black is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leah Black accept?

Health plans from Blue Cross Blue Shield of Wyoming list Leah Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leah Black was last updated on February 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.