Tay Angell Nielsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C5559 Issued in MS

Practice address

559 Clubhouse Dr
Pearl, MS 39208-9506

Phone

(601) 932-0958

NPI assigned

May 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Angie Nielsen Other name

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: taynielsen@tdh.allscriptsdirect.net

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

• Russellville Hospital Inc

  dba Russellville Hospital Medical Clinic

  • Family Medicine Physician
  • Russellville, AL
  • NPI 1780232314
  Medicare reassignment NPD
• Lifesteps, Inc

  • Clinical Social Worker
  • Pearl, MS
  • NPI 1790982205
  NPD (past) Authorized official
• Russellville Hospital Inc

  dba Russellville Hospital Family Care First Clinic

  • Rural Health Clinic/Center
  • Russellville, AL
  • NPI 1508491093
  NPD
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083824270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089506",
            "telephone_number": "601-932-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 CLUBHOUSE DR",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392089506",
            "telephone_number": "601-932-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "TAY",
        "middle_name": "ANGELL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C5559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGIE",
            "last_name": "NIELSEN",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kathryn Butler Navarre, DMD
• Kimberly S Nelson, DPT
• New Vision Pharmacy Pearl LLC (HealthPlus Pharmacy & Wellness)
• New Vision Pharmacy Pearl LLC (HealthPlus Pharmacy & Wellness)
• New Vision Pharmacy Pearl LLC
• Noah's Ark Seniors Transportation LLC.
• John Dennis Nowell
• Kelsey D Nowell, PTA
• Nuhope Health Solutions
• Nuhope Health Solutions, LLC.

• Clinical Social Worker in Pearl, MS
• Providers in Pearl, MS by specialty
• Clinical Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.