Elyssa Black, LSW

NPI 1497015812 · on the registry since 2012

Practice

Address: 3395 Plymouth Road
St. David'S Center
Minnetonka, MN 55305
Phone: (952) 939-0396
Fax: (952) 939-9266
Organisation at this address: St. David'S Center
St. David'S Center
St. David'S Center
St. David'S Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 160

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota