Elizabeth Jean Black, M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801089051 Issued in MI

Practice address

142 Brighton Lake Rd
Brighton, MI 48116-1738

Phone

(810) 844-1476

NPI assigned

Nov 26, 2007

Last updated

Dec 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1184805715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 ARMSTRONG RD",
            "address_2": "VA MEDICAL CENTER",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490377314",
            "telephone_number": "269-838-3438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BRIGHTON LAKE RD",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161738",
            "telephone_number": "810-844-1476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 Armstrong Rd.",
            "address_2": "VA Medical Center",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490151099",
            "country_code": "US",
            "telephone_number": "269-838-3438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ELIZABETH",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-26",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089051",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "L1108729",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Michigan, Inc. (Fresenius Medical Care Brighton)
• Bipin Desai MD (Livingston Pediatric Center)
• John E. Birchmeier, O.D.
• Stephen Willard Bishop, M.D.
• BJC Foot and Ankle PC (Brighton Foot and Ankle)
• Megan Rose Blades
• Jacqueline Blair
• Blue Lotus Therapy Services LLC
• Brian Clark Boese, DPT
• Samantha Boggs, RBT

• Social Worker in Brighton, MI
• Providers in Brighton, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.