Qua'Daysha Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851102860 Issued in MI

Practice address

G3169 Beecher Rd
Flint, MI 48532-3611

Phone

(810) 237-0799

Fax

(810) 234-0953

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Consumer Services, Inc.

  dba Taylor Life Center

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD (past)

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648512000000",
    "number": "1407373970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 289",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540289",
            "telephone_number": "517-676-5405",
            "fax_number": "517-676-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323611",
            "telephone_number": "810-237-0799",
            "fax_number": "810-234-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "QUA'DAYSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851102860",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802089685",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah May Nelson
• Kali Nelson, WHNP-BC
• Krystal S Nelson, LPN
• Makita Nelson
• Nichole L Nelson
• Samuel Williams Nelson, DDS
• Edith Nemeth, M.D.
• Lauren Nemetz, M.A., CCC-SLP
• Neonatal Care Specialists, PC
• Saurav Nepal

• Clinical Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.