Individual provider Active NPI

Gail Susan Nelson, LISW

  • Clinical Social Worker
  • Celina, OH
National Provider Identifier
1427617307
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
123 Summit St
Celina, OH 45822-1023
Phone
(419) 584-5906
Fax
(567) 890-0385
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I1901643 OH
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

123 Summit St
Celina, OH 45822-1023

Mailing address

123 Summit St
Celina, OH 45822-1023
Phone (419) 584-5906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20201203002512 OH Practitioner - Clinical Social Worker 9032520531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Topp Counseling LLCGroup PAC ID 0648681064, 2 clinicians

Practice addresses (Care Compare)

123 Summit St
Celina, OH 45822-1023
Phone (419) 584-5906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I1901643OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Topp Counseling LLC CurrentSince Jul 21, 2020 Accepting new patients

Locations

123 Summit St
Celina, OH 45822
Phone (419) 584-5906

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1427617307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SUMMIT ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221023",
            "telephone_number": "419-584-5906",
            "fax_number": "567-890-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMIT ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221023",
            "telephone_number": "419-584-5906",
            "fax_number": "567-890-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GAIL",
        "middle_name": "SUSAN",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I1901643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.