MS. SHERYL LUBIN BLACK LICSW
NPI 1407923121
Social Worker - Clinical in Worcester, MA

Active since November 29, 2006Opted out of Medicare · through Dec 1, 2026
100 JUNE ST, WORCESTER, MA 01602(508) 793-7884 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Sheryl Lubin Black Licsw NPPES

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

MS. SHERYL LUBIN BLACK LICSW (NPI 1407923121) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (1019467) and active in the NPI registry since November 2006. She has opted out of Medicare through December 1, 2026.

NPPES Registry Identity

NPI1407923121
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SHERYL LUBIN BLACKCredential: LICSW
Location Address100 JUNE STWorcester, MA 01602-2959
Mailing Address97 Beeching StWorcester, MA 01602-1456 · (508) 793-7884
Sole ProprietorYes
Enumeration DateNovember 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407923121 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 MA · 1019467
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.
100 JUNE ST, Worcester, MA 01602

Other Identifiers 1

OtherP05838MA · Bc&bs

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Sheryl Lubin Black Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 1, 2022 through December 1, 2026.

Opt-Out Effective DateDecember 1, 2022
Opt-Out In Effect ThroughDecember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
100 JUNE ST
WORCESTER, MA 01602
Clinic/Center (Mental Health (Including Community Mental Health Center))
100 JUNE ST
WORCESTER, MA 01602

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 Sheryl Black's NPI number?

The NPI number for Sheryl Black is 1407923121. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is Sheryl Black located?

Sheryl Black practices at 100 June St, Worcester, MA 01602. The listed phone number is (508) 793-7884.

What is Sheryl Black's specialty?

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

Is Sheryl Black enrolled in Medicare?

No. Sheryl Black has opted out of Medicare through December 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Sheryl Black accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Sheryl 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 Sheryl Black was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.