Babe Black, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3073 Salt Lake Rd
Indianapolis, IN 46214-1432

Phone

(317) 296-4187

NPI assigned

Apr 23, 2007

Last updated

Feb 1, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Collaborative Change LLC

  • Clinical Social Worker
  • Brownsburg, IN
  • NPI 1770916587
  Medicare reassignment Authorized official
• Innovative Interventions, LLC

  • Community/Behavioral Health Agency
  • Indianapolis, IN
  • NPI 1023180387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1114145513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 CRAWFORDSVILLE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462341715",
            "telephone_number": "317-296-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 SALT LAKE RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462141432",
            "telephone_number": "317-296-4187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10293 N Meridian St # S180",
            "address_purpose": "LOCATION",
            "city": "Carmel",
            "state": "IN",
            "postal_code": "462901123",
            "country_code": "US",
            "telephone_number": "317-296-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1125 Brookside Ave Ste S60",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462020056",
            "country_code": "US",
            "telephone_number": "317-296-4187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9670 E Washington St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462293032",
            "country_code": "US",
            "telephone_number": "317-890-5722",
            "fax_number": "317-622-1409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "BABE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201191940A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Black
• Amy Sue Black, MFT
• Antoinette Marino Black, LMFT
• Audrey Marie Black
• Austin Joel Black, PTA
• Candace Black
• Carla Marie Black, MD
• Dana L Black
• Elizabeth Black, NP
• Jacqueline Black, LMHC

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.