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LEON B BLACK MSW LCSW CCBT CPTP
NPI 1790793198
Social Worker - Clinical in Rockford, IL

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
7210 EAST STATE STREET, SUITE 102, ROCKFORD, IL 61108(815) 877-8567(815) 877-8567 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 6, 2025, May 25, 2021 (2 updates tracked since 2021).

About Leon B Black Msw Lcsw Ccbt Cptp NPPES

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

LEON B BLACK MSW LCSW CCBT CPTP (NPI 1790793198) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149.005967) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790793198
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLEON B BLACKCredential: MSW LCSW CCBT CPTP
Location Address7210 EAST STATE STREET, SUITE 102Rockford, IL 61108-1201
Mailing Address7210 E State St Ste 102Rockford, IL 61108-2636 · (815) 877-8567 · Fax (815) 877-8567
Phone(815) 877-8567
Fax(815) 877-8567
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateAugust 3, 2006
Last NPPES UpdateNovember 6, 20252 updates tracked since enumeration
NPPES CertifiedNovember 6, 2025
✔ NPI 1790793198 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 · 149.005967
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.
7210 EAST STATE STREET, SUITE 102, Rockford, IL 61108
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Other Identifiers 1

Other10126810IL · Bcbs

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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

Leon B Black Msw Lcsw Ccbt Cptp 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 ID7517365158
PECOS Enrollment IDI20211012000963
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61108 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

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 Leon Black's NPI number?

The NPI number for Leon Black is 1790793198. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Leon Black located?

Leon Black practices at 7210 East State Street, Suite 102, Rockford, IL 61108. The listed phone number is (815) 877-8567.

What is Leon Black's specialty?

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

Is Leon Black enrolled in Medicare?

Yes. Leon 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.

What insurance does Leon Black accept?

Health plans from Providence Health Plan list Leon Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Leon Black was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.