BRENDA BLACK LMSW
NPI 1093185068
Social Worker - Clinical in Waterloo, NY

Active since October 02, 2015PECOS EnrolledAccepts Medicare Assignment
31 THURBER DR, WATERLOO, NY 13165(315) 539-1980 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2016, Oct 2, 2015 (2 updates tracked since 2015).

About Brenda Black Lmsw NPPES

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

BRENDA BLACK LMSW (NPI 1093185068) is an individual clinical provider in Waterloo, New York, licensed in New York (098626) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093185068
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameBRENDA BLACKCredential: LMSW
Location Address31 THURBER DRWaterloo, NY 13165-1665
Mailing Address31 Thurber DrWaterloo, NY 13165-1665
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 2, 2015
Last NPPES UpdateSeptember 2, 20162 updates tracked since enumeration
NPI 1093185068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NY · 098626
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.
31 THURBER DR, Waterloo, NY 13165

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

Brenda Black Lmsw 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 ID3476964875
PECOS Enrollment IDI20201116000820
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
43 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13165 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 $54.87 – $166.88
Typical copayment $0.00 (range $13.71 – $41.72)
Most-billed visit code NA
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165

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 Brenda Black's NPI number?

The NPI number for Brenda Black is 1093185068. It was assigned to this individual provider in the NPPES registry on October 2, 2015.

Where is Brenda Black located?

Brenda Black practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.

What is Brenda Black's specialty?

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

Is Brenda Black enrolled in Medicare?

Yes. Brenda 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 Brenda Black was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.