BREANNA BLACK
NPI 1487119665
Social Worker - Clinical in Quincy, CA

Active since February 01, 2019
711 E MAIN ST, QUINCY, CA 95971(530) 283-3960 Get Directions Write a Review

NPPES record last updated: October 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 4, 2019, Feb 1, 2019 (2 updates tracked since 2019).

About Breanna Black NPPES

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

BREANNA BLACK (NPI 1487119665) is an individual clinical provider in Quincy, California, licensed in California (ASW84584) and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1487119665
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBREANNA BLACK
Location Address711 E MAIN STQuincy, CA 95971-9722
Mailing Address711 E Main StQuincy, CA 95971-9722 · (530) 283-3960
Sole ProprietorYes
Enumeration DateFebruary 1, 2019
Last NPPES UpdateOctober 4, 20192 updates tracked since enumeration
NPI 1487119665 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 CA · ASW84584
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.
711 E MAIN ST, Quincy, CA 95971

Other Identifiers 1

OtherASW84584CA · Assoc. Clinical Social Worker

Other Providers at the Same Location NPPES 7

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

Case Manager/Care Coordinator
711 E MAIN ST
QUINCY, CA 95971
In Home Supportive Care
711 E MAIN ST
QUINCY, CA 95971
Case Manager/Care Coordinator
711 E MAIN ST
QUINCY, CA 95971
Community/Behavioral Health
711 E MAIN ST
QUINCY, CA 95971
Case Manager/Care Coordinator
711 E MAIN ST
QUINCY, CA 95971
Case Manager/Care Coordinator
711 E MAIN ST
QUINCY, CA 95971
Counselor (Addiction (Substance Use Disorder))
711 E MAIN ST
QUINCY, CA 95971

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 Breanna Black's NPI number?

The NPI number for Breanna Black is 1487119665. It was assigned to this individual provider in the NPPES registry on February 1, 2019.

Where is Breanna Black located?

Breanna Black practices at 711 E Main St, Quincy, CA 95971. The listed phone number is (530) 283-3960.

What is Breanna Black's specialty?

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

When was this NPI record last updated?

The NPPES record for Breanna Black was last updated on October 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.