ALEXANDER JERROD BLACK ACSW
NPI 1003518028
Social Worker - Clinical in Los Angeles, CA

Active since March 21, 2023
4211 AVALON BLVD, LOS ANGELES, CA 90011(323) 233-0425 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Mar 21, 2023 (2 updates tracked since 2023).

About Alexander Jerrod Black Acsw NPPES

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

ALEXANDER JERROD BLACK ACSW (NPI 1003518028) is an individual clinical provider in Los Angeles, California, licensed in California (114171) and active in the NPI registry since March 2023. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1003518028
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameALEXANDER JERROD BLACKCredential: ACSW
Location Address4211 AVALON BLVDLos Angeles, CA 90011-5622
Mailing Address4047 Halldale AveLos Angeles, CA 90062-1851
Sole ProprietorNo
Enumeration DateMarch 21, 2023
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1003518028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · 114171
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.
Also ListedSocial WorkerTaxonomy 104100000X
4211 AVALON BLVD, Los Angeles, CA 90011

Secondary Practice Location 1

Location 1611 S Kingsley DrLos Angeles, CA 90005-2319 · Phone (213) 201-1600

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.

Registered Nurse
4211 AVALON BLVD
LOS ANGELES, CA 90011
Occupational Therapist (Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Social Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011
Pharmacist (Psychiatric)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Nurse Practitioner (Psychiatric/Mental Health)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4211 AVALON BLVD
LOS ANGELES, CA 90011
Community Health Worker
4211 AVALON BLVD
LOS ANGELES, CA 90011

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 Alexander Black's NPI number?

The NPI number for Alexander Black is 1003518028. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Alexander Black located?

Alexander Black practices at 4211 Avalon Blvd, Los Angeles, CA 90011. The listed phone number is (323) 233-0425.

What is Alexander Black's specialty?

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

When was this NPI record last updated?

The NPPES record for Alexander Black was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.