KENYATTA BLACK
NPI 1891505442
Social Worker - Clinical in Evergreen Park, IL

Active since January 07, 2025
9144 S UTICA AVE, EVERGREEN PARK, IL 60805(773) 908-9426 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kenyatta Black NPPES

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

KENYATTA BLACK (NPI 1891505442) is an individual clinical provider in Evergreen Park, Illinois, licensed in Illinois (149.028310) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1891505442
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKENYATTA BLACK
Location Address9144 S UTICA AVEEvergreen Park, IL 60805-1721
Mailing Address9144 S Utica AveEvergreen Park, IL 60805-1721 · (773) 908-9426
Sole ProprietorYes
Enumeration DateJanuary 7, 2025
NPPES CertifiedJanuary 7, 2025
NPI 1891505442 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 · 149.028310
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.
9144 S UTICA AVE, Evergreen Park, IL 60805

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 Kenyatta Black's NPI number?

The NPI number for Kenyatta Black is 1891505442. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Kenyatta Black located?

Kenyatta Black practices at 9144 S Utica Ave, Evergreen Park, IL 60805. The listed phone number is (773) 908-9426.

What is Kenyatta 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 Kenyatta Black was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.