Lucas James Nelson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4336 Issued in ND

Practice address

151 S 4TH St Ste 201
Grand Forks, ND 58201-4715

Phone

(701) 787-8569

Fax

(701) 787-5918

NPI assigned

Mar 14, 2007

Sex

Male

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 1

Medicare fee-for-service enrollment

Enrolled in ND

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

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.

• Life Solutions and Therapy, PLLC

  • Community/Behavioral Health Agency
  • Grand Forks, ND
  • NPI 1699170464
  Medicare reassignment Authorized official
• Grand Forks County Social Services

  • Case Manager/Care Coordinator
  • Grand Forks, ND
  • NPI 1851702914
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1235263344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5196",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582065196",
            "telephone_number": "701-787-8569",
            "fax_number": "701-787-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 S 4TH ST STE 201",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014715",
            "telephone_number": "701-787-8569",
            "fax_number": "701-787-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LUCAS",
        "middle_name": "JAMES",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054519",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jadyn Nelson
• Jakob Nelson, LMSW
• Jessica Nelson
• Kari Kristyn Nelson, RPH
• Kayla Rose Nelson, D. D. S.
• Scott A Nelson, LPCC
• Ashley Ann Nephew, FNP-C
• Melanie Nesdahl, NNP-BC
• Richard Jerome Ness, MS PT
• Rodney E Nett, RPH

• Clinical Social Worker in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.