Organization · Type 2 NPI

Brenda Black LCSW PC

Clinical Social Worker · Evanston, IL

NPI number 1265743637 Active

Practice location

717 Main St, Suite 2E
Evanston, IL 60202-1701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149013929 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1265743637

Brenda Black LCSW PC's National Provider Identifier is 1265743637, issued on Jun 30, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Evanston, IL. The record was last updated on Jun 23, 2011.