Jennifer Crystal Nelson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

4773C Issued in AL

Practice address

2269 Cheshire Dr
Birmingham, AL 35235-3313

Phone

(205) 447-5489

NPI assigned

Aug 26, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

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.

• Kolbe Clinic LLC

  • Psychiatry Physician
  • Chelsea, AL
  • NPI 1841675865
  Medicare reassignment NPD

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1265045645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 CHESHIRE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353313",
            "telephone_number": "205-447-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2269 CHESHIRE DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353313",
            "telephone_number": "205-447-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "middle_name": "CRYSTAL",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-26",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "3275G",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "AL",
            "license": "4773C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Artie C Nelson, M.D.
• Blake Pierce Nelson, DO
• Cade Joseph Nelson, MD
• Gretchen L Nelson, M.S.,CC-A
• James K. Nelson, CRNA
• John Thomas Nelson Jr., M.D.
• Jon Bradley Nelson, PHARM.D.
• Katherine Grace Nelson
• Kathy Brooks Nelson, RPH
• Kirsten Nelson, CRNA

• Social Worker in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.