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Sandra E Black, LCSW

Clinical Social Worker in Port Washington, WI · enumerated 2006 · practices at Forefront Dermatology, S.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407803489

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Registry record

Entity type Individual (Type 1)
Name Sandra E Black
Credential LCSW
Sex Female
Practice address 1317 W Grand Ave, Port Washington, WI, 53074
Phone (262) 284-5789
Fax (262) 284-5907
Enumeration date May 27, 2006
Last updated in NPPES Oct 18, 2007

Taxonomy & licenses

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers · License 1607-123 (WI) Primary
LCSW · Licensed Clinical Social Worker: A social worker licensed for clinical practice including mental-health therapy. About the LCSW credential

Other identifiers

Identifier Type State Issuer
39730600 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Sandra Black practice?
The practice location on file with NPPES is in Port Washington, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Sandra Black?
The National Provider Identifier (NPI) for Sandra Black is 1407803489, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-18.