CAROLLYN BLACK
NPI 1689216293
Counselor - Addiction (Substance Use Disorder) in Milwaukee, WI

Q: What is Carollyn Black's NPI number?

The NPI number for Carollyn Black is 1689216293. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Q: What is Carollyn Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Carollyn Black was last updated on October 15, 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.

Active since October 15, 2019

4892 N 19TH ST, MILWAUKEE, WI 53209(414) 595-3630 Get Directions Write a Review

NPPES record last updated: October 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Carollyn Black NPPES

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

CAROLLYN BLACK (NPI 1689216293) is an individual addiction (substance use disorder) provider in Milwaukee, Wisconsin, licensed in Wisconsin (18939-130) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1689216293

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameCAROLLYN BLACK

Location Address4892 N 19TH STMilwaukee, WI 53209-5757

Mailing Address4892 N 19th StMilwaukee, WI 53209-5757 · (414) 595-3630

Phone(414) 595-3630

Sole ProprietorYes

Enumeration DateOctober 15, 2019

✔ NPI 1689216293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WI · 18939-130

4892 N 19TH ST, Milwaukee, WI 53209

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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 Carollyn Black's NPI number?

The NPI number for Carollyn Black is 1689216293. It was assigned to this individual provider in the NPPES registry on October 15, 2019.

Where is Carollyn Black located?

Carollyn Black practices at 4892 N 19th St, Milwaukee, WI 53209. The listed phone number is (414) 595-3630.

What is Carollyn Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carollyn Black was last updated on October 15, 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.