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

Individual provider Clinical Social Worker · NPI 1245554724

Brenda N Black, LCSW is a Clinical Social Worker in Chicago, Illinois. Qualified in 2007, 19 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
19
Licensed in
IL
In the registry since
2010
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1316 W Erie St
Chicago, IL 60642-5718
Phone: (312) 718-6996
Fax: (872) 813-5242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 717 Main St, Evanston, IL 60202-1701 — (312) 718-6996

Specialties & licences

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

Record details

NPI number1245554724
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 26, 2010
Last updated in NPPESOctober 30, 2022
Certification dateOctober 30, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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