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

Sandra E Black, LCSW

Individual provider Clinical Social Worker · NPI 1407803489

Sandra E Black, LCSW is a Clinical Social Worker in Port Washington, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

1317 W Grand Ave
Port Washington, WI 53074-2075
Phone: (262) 284-5789
Fax: (262) 284-5907
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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 1607-123 (WI)

Record details

NPI number1407803489
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 27, 2006
Last updated in NPPESOctober 18, 2007
Mailing address1317 W Grand Ave, Port Washington, WI 53074-2075

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