McKinleigh Nelsen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2024012969 Issued in MO

Practice address

11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966

Phone

(314) 898-0100

Fax

(314) 842-2552

NPI assigned

May 8, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Provident Inc.

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1710023791
  NPD
• Provident Inc

  • Mental Health Counselor
  • Saint Louis, MO
  • NPI 1043491020
  NPD (past)

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

{
    "created_epoch": "1715126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1285482968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 OLIVE ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031489",
            "telephone_number": "314-371-6500",
            "fax_number": "314-842-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11166 TESSON FERRY RD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631236966",
            "telephone_number": "314-898-0100",
            "fax_number": "314-842-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "MCKINLEIGH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-08",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2024012969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suresh Nellore, MD
• Vijay Nellutla
• Dawn Rae Nelms, RDN LD
• Lynn G Nelms, M.D.
• Dayton Joel Nelsen, LMSW
• Aaliyah Sabreen Nelson
• Abby Marissa Nelson, PA
• Alyssa Nelson, MSW, LMSW
• Anita M Nelson
• Barbara Toby Nelson, RPH BS

• Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.