SANDRA E BLACK LCSW
NPI 1407803489
Social Worker - Clinical in Port Washington, WI

Active since May 27, 2006
1317 W GRAND AVE, PORT WASHINGTON, WI 53074(262) 284-5789(262) 284-5907 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra E Black Lcsw NPPES

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

SANDRA E BLACK LCSW (NPI 1407803489) is an individual clinical provider in Port Washington, Wisconsin, licensed in Wisconsin (1607-123) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1407803489
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSANDRA E BLACKCredential: LCSW
Location Address1317 W GRAND AVEPort Washington, WI 53074-2075
Mailing Address1317 W Grand AvePort Washington, WI 53074-2075 · (262) 284-5789 · Fax (262) 284-5907
Fax(262) 284-5907
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 18, 2007
NPI 1407803489 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 WI · 1607-123
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.
1317 W GRAND AVE, Port Washington, WI 53074

Other Identifiers 1

Medicaid39730600WI

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.

Social Worker
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Speech-Language Pathologist
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Counselor (Professional)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Occupational Therapist (Pediatrics)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Speech-Language Pathologist
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Specialist/Technologist (Athletic Trainer)
1317 W GRAND AVE
PORT WASHINGTON, WI 53074
Physical Therapist
1317 W GRAND AVE
PORT WASHINGTON, WI 53074

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 Sandra Black's NPI number?

The NPI number for Sandra Black is 1407803489. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Sandra Black located?

Sandra Black practices at 1317 W Grand Ave, Port Washington, WI 53074. The listed phone number is (262) 284-5789.

What is Sandra Black'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 Sandra Black was last updated on October 18, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.