MS. ELYSSA MARGARET BLACK (NPI# 1497015812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497015812 |
| Entity Type | Individual |
| Full Name | MS. ELYSSA MARGARET BLACK |
| Credential | LSW |
| Practice Address |
3395 Plymouth Road St. David's Center Minnetonka MN 55305-3765 |
| Mailing Address |
3395 Plymouth Road Minnetonka MN 55305-3765 |
| Practice Telephone | 9529390396 |
| Practice Fax Number | 9529399266 |
| Mailing Telephone | 9529390396 |
| Mailing Fax Number | 9529399266 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 21294-LSW | MN | Behavioral Health & Social Service Providers |
| Street Address |
3395 PLYMOUTH ROAD ST. DAVID'S CENTER |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55305-3765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184107682 | Whitley Montgomery | Counselor | 3395 Plymouth Road, Minnetonka, MN 55305 | 2018-09-11 |
| 1023506813 | Leanna Kraemer | Marriage & Family Therapist | 3395 Plymouth Road, Minnetonka, MN 55305 | 2018-04-26 |
| 1013446442 | Eleanor Lynn Gustafson | Marriage & Family Therapist | 3395 Plymouth Road, Minnetonka, MN 55305 | 2017-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948584 | Sober Living Connection | Substance Abuse Rehabilitation Facility | 11115 Minnetonka Blvd, Hopkins, MN 55305 | 2020-09-30 |
| 1649739103 | Gabriel Douglas Orem | Occupational Therapist | 10653 Waysata Blvd., Suite 200, Minnetonka, MN 55305 | 2019-03-14 |
| 1750863106 | Andrea Haglin | Counselor | 10505 Wayzata Blvd. Ste 101, Minnetonka, MN 55305 | 2018-09-02 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1841641743 | Laine Cecily Hartwell Epp | Counselor | 1300 Wayzata Blvd., Ste. 400, Minnetonka, MN 55305 | 2016-06-22 |
| 1407217367 | Larissa Vados | Acupuncturist | 11654 Wayzata Blvd, Minnetonka, MN 55305 | 2016-03-18 |
| 1548658982 | Irene Grudsky | Contractor | 10550 Wayzata Blvd, Minnetonka, MN 55305 | 2015-01-08 |
| 1780093500 | Lalaine Arbuthnot Ortlieb | Counselor | 11900 Wayzata Blvd, Suite 100, Minnetonka, MN 55305 | 2014-08-06 |
| 1235472275 | Katherine Thistle Rivard | Dietitian, Registered | 11240 Cedar Pointe Drive North, Minnetonka, MN 55305 | 2013-03-28 |
| 1558633784 | Vickie Lynn Schaefer | Social Worker | 10505 Wayzata Blve Suite 101, Minnetonka, MN 55305 | 2012-02-03 |
| Find all providers in zip 55305 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568991 | Amie Summers | Social Worker | 12301 Whitewater Dr Ste 135, Minnetonka, MN 55343-4104 | 2020-05-05 |
| 1659681856 | Gail Joyce Schulstrom | Social Worker | 12601 Ridgedale Drive, Ridgedale Service Center, Hennepin County Children's Mental Health Crisis Service, Minnetonka, MN 55305 | 2010-10-21 |
| 1285645325 | Reach for Resources, Inc. | Social Worker | 5900 Green Oak Drive, Suite 303, Minnetonka, MN 55343 | 2006-08-11 |
| 1295271971 | Lacey Theresa Thompson | Social Worker | 5868 Baker Rd, Minnetonka, MN 55345-5903 | 2017-01-18 |
| 1760875082 | Kelly Vourlos | Social Worker | 10505 Wayzata Blvd Ste 101, Minnetonka, MN 55305-1507 | 2015-03-11 |
| 1265755508 | Christina Geng | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2010-03-01 |
| 1598991861 | Heidi Scheffler | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2009-06-01 |
| 1881820157 | Krista Bean | Social Worker | 3395 Plymouth Rd, Minnetonka, MN 55305-3765 | 2009-06-01 |
| 1205934676 | Barbara Sue Goodman-fischtrom | Social Worker | 11812 Wayzata Blvd, Suite # 120, Minnetonka, MN 55305-2012 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389957 | Michelle Christine Johnson | Social Worker | 8646 Eagle Creek Cir, Savage, MN 55378-1570 | 2020-09-03 |
| 1841804432 | Taylor Elise Cravey | Social Worker | 2277 Highway 36 W Ste 160, Roseville, MN 55113-3830 | 2020-09-02 |
| 1659981124 | Meighan Rose Middleton | Social Worker | 6111 Nicollet Ave, Minneapolis, MN 55419-2560 | 2020-08-08 |
| 1114535200 | Jestine Amanda Dennis | Social Worker | 5701 Kentucky Ave N Ste 100, Crystal, MN 55428-3370 | 2020-07-15 |
| 1902421662 | Radias Health-hss/hnp | Social Worker | 166 4th St E Ste 200, Saint Paul, MN 55101-1474 | 2020-06-09 |
| 1720608854 | Muna Abdi Khalif | Social Worker | 3055 Old Highway 8 # 348, St Anthony, MN 55418-2500 | 2020-04-18 |
| 1750913687 | Kaltun Abdikarani | Social Worker | 584 10th Ave Sw, New Brighton, MN 55112-7606 | 2020-02-08 |
| 1407487879 | Michelle Fitzpatrick | Social Worker | 7900 International Dr Ste 300, Bloomington, MN 55425-2562 | 2020-02-03 |
| 1750927042 | Collin William Stanhope | Social Worker | 2872 26th Ave S # Doord, Minneapolis, MN 55406-1529 | 2019-11-21 |
| 1497390132 | Dana Miller | Social Worker | 2575 Harvest Ln # Wn, Owatonna, MN 55060-4305 | 2019-11-15 |
| Find all providers with the same taxonomy | ||||
| City | MINNETONKA |
| Zip Code | 55305 |
Please comment or provide details below to improve the information on MS. ELYSSA MARGARET BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.