Beth Ann Nelson, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

04313 Issued in MN

Practice address

4660 Slater Road
Suite 210
Eagan, MN 55122-4055

Phone

(651) 681-8615

Fax

(651) 683-0057

NPI assigned

Apr 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Aurora Psychological Services LLC

  dba Aurora Psychological Services

  • Clinical Psychologist
  • Eagan, MN
  • NPI 1649378019
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114049772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 SLATER ROAD",
            "address_2": "SUITE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224055",
            "telephone_number": "651-681-8615",
            "fax_number": "651-683-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SLATER ROAD",
            "address_2": "SUITE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551224055",
            "telephone_number": "651-681-8615",
            "fax_number": "651-683-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "04313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "40B92NE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6207092",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Moran Needham
• Madison Erin Neiderhauser, PA
• Lisa C Neitge, OTR
• Lois Bolo Neiwoh
• Annika Ingrid Nelson
• Brian Nelson
• Jennifer Kathryn Nelson, PT
• Sophia Renee Nelson
• Suzette Nelson
• Katherine Mary Neu, NP-C

• Clinical Social Worker in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinical Social Worker in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.