Individual provider Active NPI

Abigail Kristen Nelson, LCSW

  • Clinical Social Worker
  • Cheyenne, WY
National Provider Identifier
1073808283
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-779 Issued in WY
Practice address
1001 W 31St St
Cheyenne, WY 82001-2442
Phone
(307) 634-6883
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-779 WY Primary

Addresses

Primary practice location

1001 W 31St St
Cheyenne, WY 82001-2442

Mailing address

1001 W 31St St
Cheyenne, WY 82001-2442
Phone (307) 760-4128

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160413001690 WY Practitioner - Clinical Social Worker 4486952199 Reassigns benefits to 1 organization
Practice locations: Cheyenne, WY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 W 31St St
Cheyenne, WY 82001-2442
Phone (307) 760-4128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LCSW-779WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wevolve LLC CurrentSince Dec 13, 2023 Accepting new patients
Healing Spirit PastSince Feb 2, 2016 Accepting new patients

Locations

2321 Dunn Ave
Cheyenne, WY 82001
Phone (307) 314-9789

Organizations & group practices 2

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1073808283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W 31ST ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012442",
            "telephone_number": "307-760-4128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W 31ST ST",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820012442",
            "telephone_number": "307-634-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ABIGAIL",
        "middle_name": "KRISTEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "LCSW-779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

Verify at the official NPI Registry.