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

Jacques D Black, LSW

Individual provider Professional Counselor · NPI 1215795000

Jacques D Black, LSW is a Professional Counselor in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

1525 E 53rd St Ste 901
Chicago, IL 60615-4572
Phone: (773) 234-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X

Record details

NPI number1215795000
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedMarch 7, 2024
Last updated in NPPESSeptember 11, 2025
Certification dateMarch 7, 2024
Mailing address1403 E Evergreen Dr Apt 101, Palatine, IL 60074-8712

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