Theresa Joy Black, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.0600045 Issued in OH

Practice address

107 E College Ave
Westerville, OH 43081-1658

Phone

(614) 733-4421

NPI assigned

Aug 14, 2009

Last updated

Aug 5, 2026By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Theresa Black LLC

  • Clinical Social Worker
  • Westerville, OH
  • NPI 1033033998
  NPD (past) Authorized official

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1568694248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E COLLEGE AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811658",
            "telephone_number": "614-733-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E COLLEGE AVE",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430811658",
            "telephone_number": "614-733-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "THERESA",
        "middle_name": "JOY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0600045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Bixby, RDN
• Steven K Bixler, CNP
• Douglas Ross Black, D.C.
• Princess Black, PSY.D.
• Renee J Black, OTR/L
• Barbara Blair-Karr, MSW
• Keith Allen Blakely, M.D.
• Emily Blaner
• Jeffrey A Blankenbeckler, DDS
• Ian Blasczyk

• Clinical Social Worker in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.