Ellen Augusta Black, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW017179 Issued in PA

Practice address

841 3Rd Ave
Duncansville, PA 16635-1424

Phone

(814) 515-4181

Fax

(814) 317-0348

NPI assigned

May 7, 2008

Last updated

Feb 3, 2024By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Catherine Selth Spayd PHD PC

  • Clinical Psychologist
  • Duncansville, PA
  • NPI 1518028562
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706918400000",
    "number": "1235305376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 3RD AVE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351424",
            "telephone_number": "814-515-4181",
            "fax_number": "814-317-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 3RD AVE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351424",
            "telephone_number": "814-515-4181",
            "fax_number": "814-317-0348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ELLEN",
        "middle_name": "AUGUSTA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-07",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013281L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021971500005",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Becky L. Ropp-LLC
• Benchmark Therapy, Inc.
• Bert J. Altmanshofer,DPM and Assoicate, LTD
• Joe Bettwy Jr.
• Sarah Ann Bier, MSN, CRNP, PMHNP-BC
• Blair County Drug and Alcohol Program Inc.
• Blair Medical Associates
• Blair Radiologic Associates LTD
• Blair Regenerative Medicine LLC
• Katlin Rachelle Bodenschatz, MS-CCC SLP

• Clinical Social Worker in Duncansville, PA
• Providers in Duncansville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.