Active NPI
Gail Rosanne Nelson, MSW, LCSW
- Clinical Social Worker
- Visalia, CA
National Provider Identifier
1144450883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW65002
- Practice address
- 5957 S Mooney Blvd
Visalia, CA 93277-9394 - Phone
- (559) 623-0900
- NPI assigned
- Jul 15, 2009
- Last updated
- Apr 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW22162 | CA | |
| Mental Health Counselor | 101YM0800X | ASW36788 | CA | |
| Social Worker | 104100000X | NU | ||
| Clinical Social Worker | 1041C0700X | LCSW65002 | CA | Primary |
Addresses
Primary practice location
5957 S Mooney Blvd
Visalia, CA 93277-9394
Mailing address
520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0900
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ASW36788 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| LCSW65002 | Other | CA | BOARD OF BEHAVIORAL SCIENCES |
| ASW22162 | Other | CA | LICENSE |
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 |
|---|---|---|---|
| ASW22162 | CA | MD | Mental Health Counselor |
| ASW36788 | CA | MD | Mental Health Counselor |
| LCSW65002 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681862400000",
"number": "1144450883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0900",
"fax_number": "559-737-4697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5957 S MOONEY BLVD",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779394",
"telephone_number": "559-623-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "GAIL",
"middle_name": "ROSANNE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2023-04-19",
"certification_date": "2023-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW22162",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW36788",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW65002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "ASW36788",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL SCIENCES",
"identifier": "LCSW65002",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "ASW22162",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.