1. Home
  2. Directory
  3. Utah
  4. Salt Lake City
  5. Social Worker
  6. NPI Profile

MRS. ALEXA MARIE BLACK LCSW, PMH-C
NPI 1255998589
Social Worker - Clinical in Salt Lake City, UT

Active since May 22, 2019
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5529 Get Directions Write a Review

NPPES record last updated: April 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2024, May 22, 2019 (2 updates tracked since 2019).

About Mrs. Alexa Marie Black Lcsw, Pmh-c NPPES

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

MRS. ALEXA MARIE BLACK LCSW, PMH-C (NPI 1255998589) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (11599470-3501) and active in the NPI registry since May 2019. She maintains a secondary practice location in North Salt Lake.

NPPES Registry Identity

NPI1255998589
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ALEXA MARIE BLACKCredential: LCSW, PMH-C
Location Address100 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1103
Mailing Address915 Stonehenge DrNorth Salt Lake, UT 84054-6001 · (801) 440-0215
Phone(801) 662-5529
Sole ProprietorNo
Enumeration DateMay 22, 2019
Last NPPES UpdateApril 20, 20242 updates tracked since enumeration
NPPES CertifiedApril 20, 2024
✔ NPI 1255998589 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 UT · 11599470-3501
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 ListedCounselorTaxonomy 101Y00000X
100 N MARIO CAPECCHI DR, Salt Lake City, UT 84113
Open in Google Maps ↗

Secondary Practice Location 1

Location 1915 Stonehenge DrNorth Salt Lake, UT 84054-6001 · Phone (801) 662-5529

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and more.Insurance ›

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.

KEEGAN MARIE RYAN PT, DPT
Physical Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-4980
IHC HEALTH SERVICES INC
Pediatrics
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MADELINE ANN THAYER NP
Nurse Practitioner (Family)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-3600
DR. JEFFREY S PRINCE MD
Radiology (Diagnostic Radiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 487-0451
MICHELLE PLOUTZ
Pediatrics (Pediatric Cardiology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
ALICIA DONALDSON APRN
Nurse Practitioner (Pediatrics, Critical Care)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
HANNAH MARIE WINEBAUM MS, OTR/L
Occupational Therapist
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MARK EDWARD HAMAKER M.D.
Pediatrics (Pediatric Endocrinology)
100 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 587-3922

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 Alexa Black's NPI number?

The NPI number for Alexa Black is 1255998589. It was assigned to this individual provider in the NPPES registry on May 22, 2019.

Where is Alexa Black located?

Alexa Black practices at 100 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5529.

What is Alexa Black's specialty?

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

What insurance does Alexa Black accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health and University of Utah Health Plans list Alexa 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 Alexa Black was last updated on April 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.