Individual provider Active NPI

Christopher Byron Nelson, LCSW

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1508503731
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
2843 Brownsboro Rd
Louisville, KY 40206-1288
Phone
(502) 785-4610
NPI assigned
May 18, 2022
Last updated
May 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

2843 Brownsboro Rd
Louisville, KY 40206-1288

Mailing address

1057 Highland Ave
Louisville, KY 40204-1960
Phone (502) 994-0354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221005000445 KY Practitioner - Clinical Social Worker 3375929938 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Byron Nelson PLLC Clinical CurrentSince Dec 1, 2023 Accepting new patients
Behavioral Health Associates Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Osting Individual and Family Services Inc Single Specialty CurrentSince Sep 1, 2022 Accepting new patients

Locations

2210 Goldsmith Ln
Ste 201C
Louisville, KY 40218
Phone (502) 994-0354

2210 Goldsmith Ln
Ste 230
Louisville, KY 40218
Phone (502) 618-3317

2843 Brownsboro Rd
Ste 202
Louisville, KY 40206
Phone (502) 785-4610

Organizations & group practices 3

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1508503731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 HIGHLAND AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041960",
            "telephone_number": "502-994-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2843 BROWNSBORO RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061288",
            "telephone_number": "502-785-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CHRISTOPHER",
        "middle_name": "BYRON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.