Active NPI
Kerry Nelson
- Social Worker
- Kennewick, WA
National Provider Identifier
1316485998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LW60043463
- Practice address
- 216 W 10TH Ave
Kennewick, WA 99336-6300 - Phone
- (509) 870-9150
- NPI assigned
- Feb 3, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LW60043463 | WA | Primary |
Addresses
Primary practice location
216 W 10TH Ave
Kennewick, WA 99336-6300
Mailing address
PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
528 E Main St E
John Day, OR 97845-1289
Phone (541) 575-0429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LW60043463 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Solutions | Current | Accepting new patients | |
| Community Counseling Solutions | Current | Accepting new patients | |
| Grant County | Current | Accepting new patients |
Locations
528 E Main St
Ste E
John Day, OR 97845
Phone (541) 575-0429
Organizations & group practices 3
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.
-
dba Grant County Health Department
- Rural Health Clinic/Center
- John Day, OR
- NPI 1487992665
-
- Addiction (Substance Use Disorder) Counselor
- Heppner, OR
- NPI 1578501771
-
- Family Nurse Practitioner
- John Day, OR
- NPI 1629009022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1316485998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 959",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989070959",
"telephone_number": "509-575-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 W 10TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993366300",
"telephone_number": "509-870-9150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KERRY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-03",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WA",
"license": "LW60043463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.