NANCY A BLACK CONSULTING LLC
NPI 1104164912
Social Worker - Clinical in Portsmouth, RI

Active since January 29, 2013
2444 E MAIN RD, PORTSMOUTH, RI 02871(401) 683-6210(401) 683-6212 Get Directions Write a Review

NPPES record last updated: January 29, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nancy A Black Consulting Llc NPPES

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

NANCY A BLACK CONSULTING LLC (NPI 1104164912) is a healthcare organization registered as a clinical in Portsmouth, Rhode Island and active in the NPI registry since January 2013. The organization lists Nancy Black, Licsw, as its authorized official.

NPPES Registry Identity

NPI1104164912
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameNANCY A BLACK CONSULTING LLC
Location Address2444 E MAIN RDPortsmouth, RI 02871-4025
Mailing Address2444 E Main RdPortsmouth, RI 02871-4025 · (401) 683-6210 · Fax (401) 683-6212
Fax(401) 683-6212
Organization SubpartNo
Authorized OfficialNancy BlackLicsw · (401) 683-6210
Enumeration DateJanuary 29, 2013
✔ NPI 1104164912 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 RI · ISW000576
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.
2444 E MAIN RD, Portsmouth, RI 02871

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy A Black Consulting Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateRhode IslandEnrollment IDO20130620000232Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nancy A Black Consulting LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1235234519
3047 E MAIN RD STE 6
Portsmouth, RI 02871
(401) 683-7460
✔ PECOS✔ Accepts Medicare4.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nancy A Black Consulting LLC's NPI number?

The NPI number for Nancy A Black Consulting LLC is 1104164912. It was assigned to this organization in the NPPES registry on January 29, 2013.

Where is Nancy A Black Consulting LLC located?

Nancy A Black Consulting LLC is located at 2444 E Main Rd, Portsmouth, RI 02871. The listed phone number is (401) 683-6210.

What is Nancy A Black Consulting LLC's specialty?

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

Is Nancy A Black Consulting LLC enrolled in Medicare?

Yes. Nancy A Black Consulting LLC is registered in the Medicare PECOS enrollment system.

When is Nancy A Black Consulting LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Nancy A Black Consulting LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Nancy A Black Consulting LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nancy A Black Consulting LLC was last updated on January 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.