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MS. ELYSSA MARGARET BLACK LSW
NPI 1497015812
Social Worker in Minnetonka, MN

Active since May 18, 2012
3395 PLYMOUTH ROAD, ST. DAVID'S CENTER, MINNETONKA, MN 55305(952) 939-0396(952) 939-9266 Get Directions Write a Review

NPPES record last updated: May 18, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Elyssa Margaret Black Lsw NPPES

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

MS. ELYSSA MARGARET BLACK LSW (NPI 1497015812) is an individual social worker in Minnetonka, Minnesota, licensed in Minnesota (21294-LSW) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1497015812
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMS. ELYSSA MARGARET BLACKCredential: LSW
Location Address3395 PLYMOUTH ROAD, ST. DAVID'S CENTERMinnetonka, MN 55305-3765
Mailing Address3395 Plymouth RoadMinnetonka, MN 55305-3765 · (952) 939-0396 · Fax (952) 939-9266
Phone(952) 939-0396
Fax(952) 939-9266
Sole ProprietorNo
Enumeration DateMay 18, 2012
✔ NPI 1497015812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MN · 21294-LSW
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
3395 PLYMOUTH ROAD, Minnetonka, MN 55305
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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.

ELEANOR LYNN COWGER
Marriage & Family Therapist
3395 PLYMOUTH ROAD
MINNETONKA, MN 55305
Hennepin County (952) 548-8693
WHITLEY MONTGOMERY MA, LPCC
Counselor (Mental Health)
3395 PLYMOUTH ROAD
MINNETONKA, MN 55305
Hennepin County (952) 939-0396

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 Elyssa Black's NPI number?

The NPI number for Elyssa Black is 1497015812. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Elyssa Black located?

Elyssa Black practices at 3395 Plymouth Road St. David's Center, Minnetonka, MN 55305. The listed phone number is (952) 939-0396.

What is Elyssa Black's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Elyssa Black was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.