Active NPIIndividual provider

Ivelisa Black

Social Worker in Brooklyn, New York

NPI Number1588526271
Practice location
1310 Rockaway Pkwy, Brooklyn, NY 11236-2339
Fax
—
Last updated
December 1, 2025

Ivelisa Black is a Social Worker based in Brooklyn, NY. Ivelisa Black practices in Brooklyn, NY. The NPI Number for Ivelisa Black is 1588526271 and holds a License No. P139911 (NY). The current practice location address for Ivelisa Black is 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339 and can be reached out via phone at 718-272-3300.

Provider Profile Details

NPI Number
1588526271
Provider Name
Ivelisa Black
Provider Entity Type
Individual
Gender
Female
Address
1310 Rockaway Pkwy, Brooklyn, NY 11236-2339
Phone Number
718-272-3300
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
December 1, 2025
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1310 Rockaway Pkwy
Brooklyn, NY 11236-2339
Zip
11236-2339
Phone Number
718-272-3300
Brooklyn, NY 11236Get directions →

Provider Business Mailing Address Details

Address
720 Lenox Ave Apt 18C
New York, NY 10039-4423
City
New York
State
NY
Zip
10039-4423
Phone Number
718-924-5774

License Information

License Number
P139911
License State
NY
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivelisa Black?

The NPI number of Ivelisa Black is 1588526271. It was assigned on December 1, 2025 and is currently active in the NPPES registry.

What is the specialty of Ivelisa Black?

Ivelisa Black is registered under the primary taxonomy Social Worker (code 104100000X), licensed in NY under license number P139911.

Where does Ivelisa Black practice?

The practice location is 1310 Rockaway Pkwy, Brooklyn, NY 11236-2339. The office can be reached at 718-272-3300 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588526271 directly on the NPPES registry website.

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