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JACQUES D BLACK LSW
NPI 1215795000
Counselor - Professional in Chicago, IL

Active since March 07, 2024
1525 E 53RD ST STE 901, CHICAGO, IL 60615(773) 234-0644 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Mar 7, 2024 (2 updates tracked since 2024).

About Jacques D Black Lsw NPPES

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

JACQUES D BLACK LSW (NPI 1215795000) is an individual professional provider in Chicago, Illinois and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1215795000
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUES D BLACKCredential: LSW
Location Address1525 E 53RD ST STE 901Chicago, IL 60615-4572
Mailing Address1403 E Evergreen Dr Apt 101Palatine, IL 60074-8712 · (574) 315-0546
Phone(773) 234-0644
Sole ProprietorYes
Enumeration DateMarch 7, 2024
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 7, 2024
✔ NPI 1215795000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1525 E 53RD ST STE 901, Chicago, IL 60615
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Other Providers at the Same Location NPPES 3

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

JESSICA L BLACK LCPC
Counselor (Professional)
1525 E 53RD ST STE 901
CHICAGO, IL 60615
Cook County (773) 234-1839
JILLIAN RENEE HOWARD
Social Worker (Clinical)
1525 E 53RD ST STE 901
CHICAGO, IL 60615
Cook County (312) 767-8589
IMANII UWAKWE
Social Worker (Clinical)
1525 E 53RD ST STE 901
CHICAGO, IL 60615
Cook County (312) 767-8589

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 Jacques Black's NPI number?

The NPI number for Jacques Black is 1215795000. It was assigned to this individual provider in the NPPES registry on March 7, 2024.

Where is Jacques Black located?

Jacques Black practices at 1525 E 53rd St Ste 901, Chicago, IL 60615. The listed phone number is (773) 234-0644.

What is Jacques Black's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacques Black was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.