Individual provider Active NPI

Noah Fielden Nelson, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1013377803
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028470 Issued in IL
Practice address
3324 W Le Moyne St Apt 1
Chicago, IL 60651-2596
Phone
(312) 909-0135
Fax
(773) 292-5971
NPI assigned
Mar 7, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801098361 MI
Clinical Social Worker 1041C0700X 149.028470 IL Primary

Addresses

Primary practice location

3324 W Le Moyne St Apt 1
Chicago, IL 60651-2596

Mailing address

3324 W Le Moyne St Apt 1
Chicago, IL 60651-2596
Phone (312) 909-0135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098361MIMDSocial Worker
149.028470ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Humboldt Park Health CurrentSince Nov 1, 2024 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1013377803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 W LE MOYNE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512596",
            "telephone_number": "312-909-0135",
            "fax_number": "773-292-5971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3324 W LE MOYNE ST APT 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606512596",
            "telephone_number": "312-909-0135",
            "fax_number": "773-292-5971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "NOAH",
        "middle_name": "FIELDEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-07",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801098361",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.