Patricia G Nelson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00727 Issued in IA

Practice address

208 Collins Road NE
Suite 201
Cedar Rapids, IA 52402

Phone

(319) 364-4822

Fax

(319) 337-6563

NPI assigned

Oct 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Abbe Management Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hiawatha, IA
  • NPI 1811998859
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1245329432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 FIRST ST NW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52405",
            "telephone_number": "319-396-1066",
            "fax_number": "319-396-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COLLINS ROAD NE",
            "address_2": "SUITE 201",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-364-4822",
            "fax_number": "319-337-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "PATRICIA",
        "middle_name": "G",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421594",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "56021",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099796000",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Nelson, OT
• Donald Nelson, M.D.
• Elizabeth Nelson, RN
• Emma Nicole Nelson
• Jodi L Nelson, PT
• Ronald Nelson, LPHD
• Jill Lynnette Nesham, AU.D.
• Bryan David Netolicky, MD
• Nancy Kahle Netolicky, D.C.
• Julie Carol Netser, M.D.

• Clinical Social Worker in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.