Individual provider Active NPI

Jody Nelson, RSW

  • Social Worker
  • East Lansing, MI
National Provider Identifier
1376591446
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801074609 Issued in MI
Practice address
411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404
Phone
(517) 526-0036
NPI assigned
May 4, 2006
Last updated
May 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801074609 MI Primary

Addresses

Primary practice location

411 W Lake Lansing Rd Ste A100
East Lansing, MI 48823-8404

Mailing address

1092 Saint Johns Chase
Grand Ledge, MI 48837-9781
Phone (517) 526-0036

Other identifiers 1

IdentifierTypeStateIssuer
1609721125OtherMINPI GROUP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20090224000377 MI Practitioner - Clinical Social Worker 7012072135 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801074609MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cogito Therapy LLC Current Accepting new patients
St. Vincent Catholic Charities Past Accepting new patients
Ascend Therapy LLC PastSince May 28, 2023 Accepting new patients

Locations

411 W Lake Lansing Rd
Ste A100
East Lansing, MI 48823
Phone (231) 620-2750

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1376591446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 SAINT JOHNS CHASE",
            "city": "GRAND LEDGE",
            "state": "MI",
            "postal_code": "488379781",
            "telephone_number": "517-526-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 W LAKE LANSING RD STE A100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238404",
            "telephone_number": "517-526-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JODY",
        "credential": "RSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801074609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1609721125",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.