Kevin Nielsen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089.0063533 Issued in VT

Practice address

64 Orchard Rd
South Burlington, VT 05403-6132

Phone

(802) 793-6389

NPI assigned

Nov 16, 2010

Sex

Male

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

Enrolled in TX, VT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1891746970

  Clinical

  Medicare reassignment NPD
• Kevin Nielsen Counseling

  • Clinical Social Worker
  • South Burlington, VT
  • NPI 1477208825
  NPD Authorized official
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Cedar Park, TX
  • NPI 1689983066
  NPD
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Austin, TX
  • NPI 1699289728
  NPD
• David Huesman Inc

  • Addiction (Substance Use Disorder) Counselor
  • S Burlington, VT
  • NPI 1538235361

  Clinical

  NPD (past)
• Tage Lilja Licsw PLC

  • Clinical Social Worker
  • Burlington, VT
  • NPI 1972076339
  NPD (past)
• Lone Star Circle of Care

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1639129331
  NPD (past)

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1457652802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 ORCHARD RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036132",
            "telephone_number": "802-793-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 ORCHARD RD",
            "city": "SOUTH BURLINGTON",
            "state": "VT",
            "postal_code": "054036132",
            "telephone_number": "802-793-6389"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Jentsch Ct # A",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787453192",
            "country_code": "US",
            "telephone_number": "802-793-6389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "KEVIN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-16",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "54764",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0063533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neuropsychology Associates
• William Henry Newkirk, MSW
• Nfi Vermont, Inc
• Amanda Christina NG, MD
• Julianne CD Nickerson, MSW
• Hannah Noel
• Noelle C Thabault MD LLC
• Wilma Norona, LADC
• Northeast Neurology SVC PLLC
• Christine Dee Northrup, MD

• Clinical Social Worker in South Burlington, VT
• Providers in South Burlington, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.