Connie G Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSW000534 Issued in TN

Practice address

620 Gallatin Pike S
Madison, TN 37115-4013

Phone

(615) 460-4300

Fax

(615) 460-4302

NPI assigned

Mar 2, 2007

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

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Social Worker

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clientfirst of NC, LLCGroup PAC ID 7517099617, 8 clinicians

Practice addresses (Care Compare)

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.

• Clientfirst of NC, LLC

  dba ClientFirst Behavioral Health

  • Community/Behavioral Health Agency
  • Goldsboro, NC
  • NPI 1548582554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144359621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154013",
            "telephone_number": "615-460-4300",
            "fax_number": "615-460-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GALLATIN PIKE S",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154013",
            "telephone_number": "615-460-4300",
            "fax_number": "615-460-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CONNIE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "LSW000534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashville 208 Opco LLC
• Nashville Children's General Anesthesia Dentistry, PLLC
• Nashville Digestive Disease Center, P.C.
• National Vision, Inc. (America's Best Contacts & Eyeglasses)
• Derek Neice
• Kristopher Nelson, RN BSN
• Erin Rebekah Newberry
• Hannah Merle Agbunag Newcomer
• Robert Kendrick Newton Jr.
• Caroline Nguyen, M.D.

• Clinical Social Worker in Madison, TN
• Providers in Madison, TN by specialty
• Clinical Social Worker in Tennessee

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.