ELIZABETH BLACK
NPI 1063193902
Social Worker - Clinical in Michigan City, IN

Active since July 25, 2023PECOS Enrolled
107 WOODLAND CT STE B, MICHIGAN CITY, IN 46360(219) 229-7188 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 24, 2024, Jul 25, 2023 (2 updates tracked since 2023).

About Elizabeth Black NPPES

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

ELIZABETH BLACK (NPI 1063193902) is an individual clinical provider in Michigan City, Indiana, licensed in Indiana (34011206A) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063193902
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELIZABETH BLACK
Location Address107 WOODLAND CT STE BMichigan City, IN 46360-7393
Mailing Address141 Kingsbury AveLa Porte, IN 46350-5260
Sole ProprietorYes
Enumeration DateJuly 25, 2023
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
NPI 1063193902 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 IN · 34011206A
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 ListedSocial WorkerTaxonomy 104100000X · License 33010846A (IN)
107 WOODLAND CT STE B, Michigan City, IN 46360

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elizabeth Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46360 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 $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 2

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

Social Worker (Clinical)
107 WOODLAND CT STE B
MICHIGAN CITY, IN 46360
Social Worker (Clinical)
107 WOODLAND CT STE B
MICHIGAN CITY, IN 46360

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 Elizabeth Black's NPI number?

The NPI number for Elizabeth Black is 1063193902. It was assigned to this individual provider in the NPPES registry on July 25, 2023.

Where is Elizabeth Black located?

Elizabeth Black practices at 107 Woodland Ct Ste B, Michigan City, IN 46360. The listed phone number is (219) 229-7188.

What is Elizabeth Black's specialty?

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

Is Elizabeth Black enrolled in Medicare?

Yes. Elizabeth Black is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Black accept?

Health plans from CareSource, Providence Health Plan and UnitedHealthcare list Elizabeth Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Black was last updated on September 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.