NPI 1063193902

Elizabeth Black

Practitioner Clinical Social Worker Michigan City, IN

Practice location

Address: 107 Woodland CT STE B, Michigan City, IN 46360-7393
Phone: (219) 229-7188
Mailing address: 141 Kingsbury Ave, La Porte, IN 46350-5260

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34011206A (IN)

Other Social Worker providers in Indiana →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X Licence 33010846A (IN)

Registry record

NPI: 1063193902
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2023
Record last updated: 24 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.