BRENDA BLACK LCSW PC
NPI 1265743637
Social Worker - Clinical in Evanston, IL

Active since June 30, 2010
717 MAIN ST, SUITE 2E, EVANSTON, IL 60202(312) 718-6996 Get Directions Write a Review

NPPES record last updated: June 23, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brenda Black Lcsw Pc NPPES

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

BRENDA BLACK LCSW PC (NPI 1265743637) is a healthcare organization registered as a clinical in Evanston, Illinois and active in the NPI registry since June 2010. The organization lists Brenda N Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1265743637
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBRENDA BLACK LCSW PC
Location Address717 MAIN ST, SUITE 2EEvanston, IL 60202-1701
Mailing Address717 Main St, Suite 2eEvanston, IL 60202-1701 · (312) 718-6996
Organization SubpartNo
Authorized OfficialBrenda N BlackOwner · (312) 718-6996
Enumeration DateJune 30, 2010
Last NPPES UpdateJune 23, 2011
NPI 1265743637 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 IL · 149013929
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.
717 MAIN ST, Evanston, IL 60202

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
717 MAIN ST
EVANSTON, IL 60202
Social Worker (Clinical)
717 MAIN ST
EVANSTON, IL 60202
Social Worker (Clinical)
717 MAIN ST, SUITE 2-E
EVANSTON, IL 60202
Psychologist (Clinical)
717 MAIN ST, 2ND FLOOR EAST
EVANSTON, IL 60202
Social Worker (Clinical)
717 MAIN ST
EVANSTON, IL 60202

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 Lcsw PC's NPI number?

The NPI number for Brenda Black Lcsw PC is 1265743637. It was assigned to this organization in the NPPES registry on June 30, 2010.

Where is Brenda Black Lcsw PC located?

Brenda Black Lcsw PC is located at 717 Main St Suite 2E, Evanston, IL 60202. The listed phone number is (312) 718-6996.

What is Brenda Black Lcsw PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Brenda Black Lcsw PC was last updated on June 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.