Active NPI
Alexis Nelson
- Clinical Social Worker
- Spring Lake, MI
National Provider Identifier
1134078009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851120632
- Practice address
- 17224 Van Wagoner Rd
Spring Lake, MI 49456-9702 - Phone
- (616) 296-2130
- NPI assigned
- Jan 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6851120632 | MI | Primary |
Addresses
Primary practice location
17224 Van Wagoner Rd
Spring Lake, MI 49456-9702
Mailing address
203 Alden St
Spring Lake, MI 49456-1762
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6851120632 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1134078009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 ALDEN ST",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494561762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17224 VAN WAGONER RD",
"city": "SPRING LAKE",
"state": "MI",
"postal_code": "494569702",
"telephone_number": "616-296-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-24",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6851120632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spring Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.