MICKENZIE RENEE BLACK LSW
NPI 1205624715
Counselor - Mental Health in New Castle, PA

Active since April 26, 2025
121 ENCLAVE DR STE C, NEW CASTLE, PA 16105(724) 657-4325 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mickenzie Renee Black Lsw NPPES

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

MICKENZIE RENEE BLACK LSW (NPI 1205624715) is an individual mental health provider in New Castle, Pennsylvania and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1205624715
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMICKENZIE RENEE BLACKCredential: LSW
Location Address121 ENCLAVE DR STE CNew Castle, PA 16105-3207
Mailing Address3218 Elm DrNew Castle, PA 16105-1104 · (724) 498-6523
Sole ProprietorYes
Enumeration DateApril 26, 2025
Last NPPES UpdateJuly 13, 2025
NPPES CertifiedJuly 13, 2025
NPI 1205624715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
121 ENCLAVE DR STE C, New Castle, PA 16105

Other Providers at the Same Location NPPES

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

Counselor
121 ENCLAVE DR STE C
NEW CASTLE, PA 16105

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 Mickenzie Black's NPI number?

The NPI number for Mickenzie Black is 1205624715. It was assigned to this individual provider in the NPPES registry on April 26, 2025.

Where is Mickenzie Black located?

Mickenzie Black practices at 121 Enclave Dr Ste C, New Castle, PA 16105. The listed phone number is (724) 657-4325.

What is Mickenzie Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mickenzie Black was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.