Active NPI
Christina Nelson, LMSW
- Social Worker
- Deer Park, NY
National Provider Identifier
1508688581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 124279-01
- Practice address
- 95 Central Avenue
Deer Park, NY 11729 - Phone
- (631) 213-0232
- NPI assigned
- Oct 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 124279-01 | NY | Primary |
Addresses
Primary practice location
95 Central Avenue
Deer Park, NY 11729
Mailing address
300 Carleton Avenue
Apt 13102
Central Islip, NY 11722
Phone (516) 551-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124279-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1508688581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CARLETON AVENUE",
"address_2": "APT 13102",
"city": "CENTRAL ISLIP",
"state": "NY",
"postal_code": "11722",
"telephone_number": "516-551-5070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CENTRAL AVENUE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "11729",
"telephone_number": "631-213-0232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "CHRISTINA",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "124279-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.