Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497015812 Individual Practitioner Female Practitioner

Elyssa Margaret Black , LSW

Social Worker • Minnetonka, MN

Professional Overview & Biography Verified Profile Summary

Elyssa Black, LSW is a registered healthcare professional specializing in Social Worker in Minnetonka, MN. Practice services are available at 3395 PLYMOUTH ROAD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3395 Plymouth Road
St. David's Center

Minnetonka, MN 553053765

Telephone 9529390396
Fax 9529399266
Associated Practice Facility / Clinic
🏢 St. David's Center Facility NPI 1376752337

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Minnetonka, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.6 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
17 Specialists

Practicing in Minnetonka, MN (1047 Statewide)

Telehealth Adoption Rate
23.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MN 21294-LSW

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elizabeth Collins , LAMFT

Marriage & Family Therapist

NPI 1013083799
Angela Bierle Early , LICSW

Social Worker - Clinical

NPI 1013273010

Licensed Independent Clinical Social Worker

Katherine Shearer , PT

Physical Therapist

NPI 1023067030

Physical Therapist

Katy Cloutier , MA, CCC, SLP

Speech-Language Pathologist

NPI 1023184538

Master of Arts, Certificate of Clinical Competence, Speech-Language Pathologist

NPI 1053192898

Master of Arts, Licensed Professional Clinical Counselor

NPI 1053460055

Occupational Therapist Registered

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2012

Registered at 3395 PLYMOUTH ROAD, ST. DAVID'S CENTER, MINNETONKA, MN 553053765 (Tel: 9529390396)

📍
Updated Business Mailing Address May 18, 2012

Registered at 3395 PLYMOUTH ROAD, MINNETONKA, MN 553053765 (Tel: 9529390396)

👤
Provider Name / Credentials Updated May 18, 2012

Recorded as ELYSSA BLACK, LSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Social Worker (License #21294-LSW in MN)

🟢
Initial NPI Registration & Enumeration May 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497015812
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2012
Last Update: May 18, 2012
Sole Proprietor: No

Mailing Address

3395 Plymouth Road

Minnetonka, MN 553053765

Phone: 9529390396

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.