Amanda C Nelson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

092278 Issued in NY

Practice address

738 Crown St
Brooklyn, NY 11213-5442

Phone

(718) 363-0100

Fax

(718) 363-3005

NPI assigned

Jun 9, 2015

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 NY

Eligible to order & refer

• Part B services: No
• 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.

• Empathic Touch Counseling Services, LCSW, PLLC

  • Clinical Social Worker
  • Jamaica, NY
  • NPI 1700684222
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433808000000",
    "number": "1235510876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 CROWN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135442",
            "telephone_number": "718-363-0100",
            "fax_number": "718-363-3005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "AMANDA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eula Nelson Davis, FNP-BC
• Nelson Lacy Group LCSW PLLC
• Nelson Menezes Vascular Specialist PC
• Sophia Nelson-Boatswain
• Alec William Nelson
• Amanda Li Nelson, NP
• Ann Marie Nelson
• Audrey Nelson
• Carol Ann Nelson, MS CCC SLP
• Chase Tueller Nelson, MD

• Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; 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.