MRS. ALYSSA NICOLE BLACK LCSW
NPI 1821635095
Social Worker - Clinical in Highland, UT

Active since December 05, 2019
5455 W 11000 N STE 201, HIGHLAND, UT 84003(801) 449-0017 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Dec 5, 2019 (2 updates tracked since 2019).

About Mrs. Alyssa Nicole Black Lcsw NPPES

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

MRS. ALYSSA NICOLE BLACK LCSW (NPI 1821635095) is an individual clinical provider in Highland, Utah and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1821635095
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ALYSSA NICOLE BLACKCredential: LCSW
Location Address5455 W 11000 N STE 201Highland, UT 84003-8820
Mailing Address5455 W 11000 NHighland, UT 84003-8800
Sole ProprietorNo
Enumeration DateDecember 5, 2019
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
NPI 1821635095 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
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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5455 W 11000 N STE 201, Highland, UT 84003

Other Names 1

Former Name (1)Miss Alyssa Nicole Costanza

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)
5455 W 11000 N STE 201
HIGHLAND, UT 84003
Counselor (Mental Health)
5455 W 11000 N STE 201
HIGHLAND, UT 84003

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 Alyssa Black's NPI number?

The NPI number for Alyssa Black is 1821635095. It was assigned to this individual provider in the NPPES registry on December 5, 2019. The provider is also known as Miss Alyssa Nicole Costanza.

Where is Alyssa Black located?

Alyssa Black practices at 5455 W 11000 N Ste 201, Highland, UT 84003. The listed phone number is (801) 449-0017.

What is Alyssa 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 Alyssa Black was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.