Brenda Black Lcsw PC
NPI 1265743637 · Clinical Social Worker · Evanston, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brenda Black Lcsw PC is a Clinical Social Worker organization in Evanston, IL (NPI 1265743637).
Provider details
- NPI number
- 1265743637
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Brenda Black, Owner(312) 718-6996
- License
- 149013929 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-06-30
- Last updated
- 2011-06-23
Frequently asked questions
- What is Brenda Black Lcsw PC's NPI number?
- Brenda Black Lcsw PC's National Provider Identifier (NPI) is 1265743637, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brenda Black Lcsw PC?
- Brenda Black Lcsw PC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Brenda Black Lcsw PC located?
- Brenda Black Lcsw PC's practice location on file with NPPES is 717 Main St, Evanston, IL 60202-1701.
- What is Brenda Black Lcsw PC's phone number?
- The practice phone number listed in the NPPES registry for Brenda Black Lcsw PC is (312) 718-6996.
- Does Brenda Black Lcsw PC accept Medicare?
- Brenda Black Lcsw PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Brenda Black Lcsw PC?
- The authorized official listed on Brenda Black Lcsw PC's NPPES record is Brenda Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brenda Black Lcsw PC's NPI active?
- Yes — Brenda Black Lcsw PC's NPI (1265743637) is active in the NPPES registry as of the last update on 2011-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.