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

Elizabeth Black

Individual provider Social Worker · NPI 1063193902

Elizabeth Black is a Social Worker in Michigan City, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

107 Woodland Ct Ste B
Michigan City, IN 46360-7393
Phone: (219) 229-7188
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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 34011206A (IN)
Social Worker Taxonomy 104100000X · Licence 33010846A (IN)

Record details

NPI number1063193902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 25, 2023
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024

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