Rachel Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34010334A Issued in IN

Practice address

480 Eversman Dr
Jasper, IN 47546-3548

Phone

(812) 482-3020

Fax

(812) 482-6409

NPI assigned

Nov 21, 2016

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 IN

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Graham & Esty LLC

  dba Missing Peace

  • Clinical Social Worker
  • Evansville, IN
  • NPI 1073254678
  Medicare reassignment NPD
• Southern Hills Counseling Center, Inc.

  • Clinical Psychologist
  • Jasper, IN
  • NPI 1134118276
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1366985558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470769",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 EVERSMAN DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463548",
            "telephone_number": "812-482-3020",
            "fax_number": "812-482-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RACHEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "99075144A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010334A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Layla Murawski
• Tiffany J Murrell, FNP-C
• Paige Myers
• Avinash Nankani, MBBS
• Jason Martin Nelson, M.D.
• Hali Nesbitt
• Rachel Nettleton, MD
• Karen Michelle Neuhoff, M.S., CCC-SLP
• Newburgh Urgent Care LLC (Mercy Urgent Care LLC)
• Isaac John Newhouse

• Clinical Social Worker in Jasper, IN
• Providers in Jasper, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.