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MS. RHONDA LEE BLACK LICSW
NPI 1538214176
Social Worker - Clinical in Medford, MA

Active since January 24, 2007Opted out of Medicare · through Dec 24, 2027
84 HIGH ST, SUITE 2A, MEDFORD, MA 02155(781) 393-0009(781) 395-2909 Get Directions Write a Review

NPPES record last updated: February 10, 2016. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Ms. Rhonda Lee Black Licsw NPPES

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

MS. RHONDA LEE BLACK LICSW (NPI 1538214176) is an individual clinical provider in Medford, Massachusetts, licensed in Massachusetts (107094) and active in the NPI registry since January 2007. She has opted out of Medicare through December 24, 2027 and is a graduate of Other (1985).

NPPES Registry Identity

NPI1538214176
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. RHONDA LEE BLACKCredential: LICSW
Location Address84 HIGH ST, SUITE 2AMedford, MA 02155-3844
Mailing Address84 High St, Ste 2aMedford, MA 02155-3844 · (781) 862-4099 · Fax (781) 395-2909
Phone(781) 393-0009
Fax(781) 395-2909
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateJanuary 24, 2007
Last NPPES UpdateFebruary 10, 2016
✔ NPI 1538214176 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 · 107094
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.
84 HIGH ST, Medford, MA 02155
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Other Identifiers 1

Medicare ID-Type UnspecifiedP21462MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Rhonda Lee 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 24, 2025 through December 24, 2027.

Opt-Out Effective DateDecember 24, 2025
Opt-Out In Effect ThroughDecember 24, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

MR. WILLIAM FRANK SCALISE LICSW
Social Worker (Clinical)
84 HIGH ST, SUITE 2A
MEDFORD, MA 02155
Middlesex County (781) 393-0009
MS. ELLEN RUTH KRUGER L.I.C.S.W.
Counselor (Mental Health)
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 393-0009
DR. ANTHONY GIAMBERARDINO DMD
Dentist (General Practice)
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 396-3800
MS. SHARON LEE BONNELLBRADLEY LICSW
Counselor (Mental Health)
84 HIGH ST, SUITE 2B
MEDFORD, MA 02155
Middlesex County (781) 391-1640
ANNE CIASULLO
Physical Therapist
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 391-0303
SUSAN SHANNON
Occupational Therapist
84 HIGH ST
MEDFORD, MA 02155
Middlesex County (781) 391-0303
THERESE H VENEDIKIAN DMD PC
Dentist (Prosthodontics)
84 HIGH ST, STE 7
MEDFORD, MA 02155
Middlesex County (781) 393-8877
BETH B. SCHMITT, LICSW, PC
Counselor (Mental Health)
84 HIGH ST, SUITE2A
MEDFORD, MA 02155
Middlesex County (781) 662-4890

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 Rhonda Black's NPI number?

The NPI number for Rhonda Black is 1538214176. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Rhonda Black located?

Rhonda Black practices at 84 High St Suite 2A, Medford, MA 02155. The listed phone number is (781) 393-0009.

What is Rhonda Black's specialty?

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

Is Rhonda Black enrolled in Medicare?

No. Rhonda Black has opted out of Medicare through December 24, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Rhonda Black accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Rhonda 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 Rhonda Black was last updated on February 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.