BENJAMIN ROBERT BLACK MSW
NPI 1710478060
Social Worker - Clinical in San Francisco, CA

Active since May 22, 2018PECOS EnrolledAccepts Medicare Assignment
564 6TH ST, SAN FRANCISCO, CA 94103(650) 503-4589 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2022, May 22, 2018 (2 updates tracked since 2018).

About Benjamin Robert Black Msw NPPES

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

BENJAMIN ROBERT BLACK MSW (NPI 1710478060) is an individual clinical provider in San Francisco, California, licensed in California (LCSW100464) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1710478060
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBENJAMIN ROBERT BLACKCredential: MSW
Location Address564 6TH STSan Francisco, CA 94103-4708
Mailing Address564 6th StSan Francisco, CA 94103-4708 · (650) 372-4080
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 22, 2018
Last NPPES UpdateFebruary 4, 20222 updates tracked since enumeration
NPPES CertifiedJuly 23, 2021
NPI 1710478060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CA · LCSW100464
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.
Also ListedCounselorTaxonomy 101Y00000X · License ASW85095 (CA)
564 6TH ST, San Francisco, CA 94103

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Benjamin Robert Black Msw 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 ID4587026794
PECOS Enrollment IDI20230818001706
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94103 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 $69.00 – $202.35
Typical copayment $0.00 (range $17.25 – $50.58)
Most-billed visit code NA
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 11

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

Student in an Organized Health Care Education/Training Program
564 6TH ST
SAN FRANCISCO, CA 94103
Social Worker (Clinical)
564 6TH ST
SAN FRANCISCO, CA 94103
Student in an Organized Health Care Education/Training Program
564 6TH ST
SAN FRANCISCO, CA 94103
Community Health Worker
564 6TH ST
SAN FRANCISCO, CA 94103
Social Worker (Clinical)
564 6TH ST
SAN FRANCISCO, CA 94103
Technician, Other
564 6TH ST
SAN FRANCISCO, CA 94103
Rehabilitation Practitioner
564 6TH ST
SAN FRANCISCO, CA 94103
Substance Abuse Rehabilitation Facility
564 6TH ST
SAN FRANCISCO, CA 94103

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 Benjamin Black's NPI number?

The NPI number for Benjamin Black is 1710478060. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Benjamin Black located?

Benjamin Black practices at 564 6th St, San Francisco, CA 94103. The listed phone number is (650) 503-4589.

What is Benjamin Black's specialty?

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

Is Benjamin Black enrolled in Medicare?

Yes. Benjamin 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.

When was this NPI record last updated?

The NPPES record for Benjamin Black was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.