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DAJAH BLACK MSW, LCSW
NPI 1265039416
Social Worker - Clinical in Charlotte, NC

Active since October 01, 2020PECOS EnrolledAccepts Medicare Assignment
13211 CAMERON GROVE LOOP APT 206, CHARLOTTE, NC 28262(704) 493-5514 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 9, 2020, Oct 1, 2020 (2 updates tracked since 2020).

About Dajah Black Msw, Lcsw NPPES

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

DAJAH BLACK MSW, LCSW (NPI 1265039416) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (C016878) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charlotte, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265039416
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDAJAH BLACKCredential: MSW, LCSW
Location Address13211 CAMERON GROVE LOOP APT 206Charlotte, NC 28262-2832
Mailing Address13211 Cameron Grove Loop Apt 206Charlotte, NC 28262-2832 · (704) 493-5514
Phone(704) 493-5514
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 1, 2020
Last NPPES UpdateJuly 28, 20252 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1265039416 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 NC · C016878
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.
13211 CAMERON GROVE LOOP APT 206, Charlotte, NC 28262
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Secondary Practice Location 1

Location 1101 N Tryon St Ste 600Charlotte, NC 28246-0100 · Phone (415) 424-4266 · Fax (415) 520-6633

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dajah Black Msw, 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 ID2668942780
PECOS Enrollment IDI20260529000618
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.

Medicare Billing Reassignment

Medicare enrollment records show Dajah Black reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Monarch
10 mi
Community/Behavioral Health
5700 EXECUTIVE CENTER DR, SUITE 110
Charlotte, NC 28212
  • Reassigned Medicare billing, North Carolina enrollment
  • 260 clinicians in this Medicare group
NPI 1457662843 (704) 525-3255

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28262 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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 Dajah Black's NPI number?

The NPI number for Dajah Black is 1265039416. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Dajah Black located?

Dajah Black practices at 13211 Cameron Grove Loop Apt 206, Charlotte, NC 28262. The listed phone number is (704) 493-5514.

What is Dajah Black's specialty?

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

Is Dajah Black enrolled in Medicare?

Yes. Dajah 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.

Which organization bills Medicare for Dajah Black's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dajah Black reassigns Medicare benefits to Monarch (Charlotte, NC). The 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 Dajah Black's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dajah Black accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Dajah 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 Dajah Black was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.