Melissa Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11142123 Issued in WI

Practice address

2414 N Farwell Ave Ste 1
Milwaukee, WI 53211-4414

Phone

(414) 413-4800

Fax

(414) 310-3950

NPI assigned

Jan 30, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

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.

• TMS Clinical Services of Wisconsin SC

  • Psychiatry Physician
  • West Allis, WI
  • NPI 1528734902
  Medicare reassignment NPD
• Full Circle Healing Therapy, LLC

  • Clinical Social Worker
  • Milwaukee, WI
  • NPI 1932991676
  NPD Authorized official
• North Shore Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mequon, WI
  • NPI 1780755389
  NPD (past)

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1104688589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 N FARWELL AVE UNIT 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114446",
            "telephone_number": "414-413-4800",
            "fax_number": "414-310-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 N FARWELL AVE STE 1",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114414",
            "telephone_number": "414-413-4800",
            "fax_number": "414-310-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "17048132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "11142123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren J Nelson, PH.D
• Laurie Lynn Nelson, LPC
• Lindsay Nelson, PH.D.
• Lori A Nelson, APNP
• Megan E Nelson, PA
• Michael L Nelson, MD
• Michelle A Nelson, MFT, MSW
• Nicole Marie Steinmetz Nelson, MA
• Philip A Nelson, MD
• Rachel Nelson

• Clinical Social Worker in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.