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

MS. Elyssa Margaret Black, LSW

Individual provider Social Worker · NPI 1497015812

MS. Elyssa Margaret Black, LSW is a Social Worker in Minnetonka, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

3395 Plymouth Road St David's Ctr
Minnetonka, MN 55305-3765
Phone: (952) 939-0396
Fax: (952) 939-9266
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 21294-LSW (MN)

Record details

NPI number1497015812
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedMay 18, 2012
Last updated in NPPESMay 18, 2012

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