Active NPI
Laura Frances Black, MSW, LMSW
- Social Worker
- Detroit, MI
National Provider Identifier
1922157684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801035962
- Practice address
- 15000 Gratiot Ave
Detroit, MI 48205-1973 - Phone
- (313) 245-0600
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801035962 | MI | Primary |
Addresses
Primary practice location
15000 Gratiot Ave
Detroit, MI 48205-1973
Mailing address
1755 N Denwood St
Dearborn, MI 48128-1124
Phone (313) 563-9826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801035962 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922157684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 N DENWOOD ST",
"city": "DEARBORN",
"state": "MI",
"postal_code": "481281124",
"telephone_number": "313-563-9826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 GRATIOT AVE",
"city": "DETROIT",
"state": "MI",
"postal_code": "482051973",
"telephone_number": "313-245-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "LAURA",
"middle_name": "FRANCES",
"name_prefix": "Ms.",
"credential": "MSW, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801035962",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.