Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brenda Black LCSW PC

Organization Clinical Social Worker · NPI 1265743637

Brenda Black LCSW PC is a Clinical Social Worker in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

717 Main St Ste 2E
Evanston, IL 60202-1701
Phone: (312) 718-6996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149013929 (IL)

Record details

NPI number1265743637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Black — Owner · (312) 718-6996
NPI enumeratedJune 30, 2010
Last updated in NPPESJune 23, 2011
Mailing address717 Main St, Suite 2e, Evanston, IL 60202-1701

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