Brenda Black Lcsw PC
NPI 1265743637ActiveOrganization· Social Worker, Clinical· Evanston, IL
Social Worker, Clinical in Evanston, Illinois, registered in NPPES in June 2010. The authorized official on file is Brenda N. Black, LCSW PC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1265743637 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 30, 2010 |
| Last updated in NPPES | Jun 23, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 149013929 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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