MR. JOEL M BLACK (LCSW) – Clinical Social Worker, NPI 1144889650

MR. JOEL M BLACK (LCSW) is a healthcare provider. based in Valley park, Missouri. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 2019040488 (MO). The NPI Number for MR. JOEL M BLACK (LCSW) is 1144889650

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. JOEL M BLACK (LCSW)
NPI
1144889650
Phone
(618) 741-4985
Address
1235 CLIFFRIDGE LN
Enumeration Date
8 June 2019
Last Update Date
12 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7739451994
Graduation Year
2016 (10 years ago)
PAC ID
9638508302
Group Practice PAC ID
5698134005
Professional Enrollment ID
I20250821004258
Address ID
IL607121704LI7373XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,245 CLINICAL SOCIAL WORKER in MO

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Provider Addresses for MR. JOEL M BLACK (LCSW)

  • 1235, Cliffridge Lane, Saint Louis County, Missouri, 63088, United States

    VALLEY PARK, MO 630881174

    Phone: (618) 741-4985

    Type: Mailing

  • Big Bend Boulevard, Shrewsbury, Webster Groves, Saint Louis County, Missouri, 63126, United States

    SAINT LOUIS, MO 631192709

    Phone: (314) 800-0311

    Type: Location

  • 3324 RUE ROYALE ST

    SAINT CHARLES, MO 633018321

    Phone: (314) 643-6172

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200331002551IClinical Social WorkerMOTBD
I20250821004258IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63088)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698134005View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerMI
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical PsychologistIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Can I cross-check MR. JOEL M BLACK (LCSW) using NPI 1144889650?
NPI 1144889650 belongs to MR. JOEL M BLACK (LCSW); compare other details if you need extra assurance.
Active or inactive — what applies to MR. JOEL M BLACK (LCSW)?
You should see MR. JOEL M BLACK (LCSW) as active in CMS-hosted NPPES data.
What clinical focus is listed for MR. JOEL M BLACK (LCSW)?
At a glance, MR. JOEL M BLACK (LCSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. JOEL M BLACK (LCSW) associated with Valley Park?
Public fields place MR. JOEL M BLACK (LCSW) around Valley Park, Missouri. Always confirm the exact site before visiting.
Can I trust this NPI listing for MR. JOEL M BLACK (LCSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.