Jonathan Vincent Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-37479 Issued in ID

Practice address

601 Pole Line Rd
Twin Falls, ID 83301-3035

Phone

(208) 814-7625

NPI assigned

Jan 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1043633407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013035",
            "telephone_number": "208-814-7625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 POLE LINE RD",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013035",
            "telephone_number": "208-814-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JONATHAN",
        "middle_name": "VINCENT",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-21",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-37479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558606962",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna J Neiwert, LSW
• Janine C Neiwirth, RD, LD
• Nelson Counseling, LLC
• Heather J Nelson, MSW
• Hilber Nelson, L.C.S.W.
• Kirsten Nelson
• Levi Nelson, D.C.
• Mari Christina Nelson, LCPC, ICADC, DBTC
• Philip M Nelson, MD
• Nikolaus Konrad Neudorf, MD

• Clinical Social Worker in Twin Falls, ID
• Providers in Twin Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.