IndividualActive
Elyssa Black, LSW
NPI 1497015812 · Social Worker · Minnetonka, MN
Elyssa Black, LSW is a Social Worker provider in Minnetonka, MN (NPI 1497015812).
Provider details
- NPI number
- 1497015812
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- License
- 21294-LSW (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3395 Plymouth Road
St. David'S Center
Minnetonka, MN 55305-3765
Phone: (952) 939-0396
Fax: (952) 939-9266
Approximate (ZIP-level) locationGet directions
Mailing address
3395 Plymouth Road
Minnetonka, MN 55305-3765
Registry dates
- Enumerated
- 2012-05-18
- Last updated
- 2012-05-18
Frequently asked questions
- What is Elyssa Black's NPI number?
- Elyssa Black's National Provider Identifier (NPI) is 1497015812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elyssa Black's specialty?
- Elyssa Black is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Elyssa Black located?
- Elyssa Black's practice location on file with NPPES is 3395 Plymouth Road, Minnetonka, MN 55305-3765.
- What is Elyssa Black's phone number?
- The practice phone number listed in the NPPES registry for Elyssa Black is (952) 939-0396.
- Is Elyssa Black's NPI active?
- Yes — Elyssa Black's NPI (1497015812) is active in the NPPES registry as of the last update on 2012-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.