Michelle Mari Nelson, MSW
Individual provider Active NPI Social Worker · Bosque Farms, NM
NPI 1295025757 · NPPES record last updated Apr 18, 2011
Key facts
- NPI
- 1295025757
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- X-07244 (NM)
- Practice address
- 2720 Parklane Dr
Bosque Farms, NM 87068 - Phone
- (505) 307-3574
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X-07244 | NM | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | X-07244 | NM | Yes |
Addresses
Primary practice location
2720 Parklane Dr
Bosque Farms, NM 87068
Mailing address
2720 Parklanedr
Bosque Farms, NM 87068
Phone (505) 307-3574
Other providers in Bosque Farms, NM
- Living Waters Physical Therapy
- Amy Jeannie Maldonado
- Fatemeh Mansoori
- Margie J Wesley, LLC
- Manuela Helena Moya
- Nmbfd LTD
- Kreig Robert Peterson
- Ettore Pittore
- Michelle Randall
- Kelly Robinson
All providers in Bosque Farms, NM · Social Worker in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.