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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH BLACK

Active Sole Proprietor

ELIZABETH BLACK is a Clinical Social Worker healthcare provider located in MICHIGAN CITY, Indiana. NPI 1063193902 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · MICHIGAN CITY, IN

Registration Details

NPI Number
1063193902
Provider Type
Individual
Gender
Female
NPI Issued
Jul 25, 2023 (3.0320726354241 yrs)
Last Updated
Sep 24, 2024
Licenses
33010846A (IN)
34011206A (IN)
Sole Proprietor
Yes

Practice Information

Address
107 WOODLAND CT STE B
MICHIGAN CITY, IN, 463607393
Browse IN providers · Browse ZIP 46360
Phone
2192297188
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in MICHIGAN CITY, IN

Name Credential NPI
MS. JANICE M REISCH LCSW 1700868924
MRS. JUDITH SPEVAK LCSW 1558319749
MRS. IMOJEANNE JOHNSON LCSW 1124076575
MR. DAVID JOHNSON LCSW 1972551422
RAMUNE SAVIJA KAZENAS LCSW 1699864009
MR. REYNOLD A WOLTER LCSW 1578652962
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.