Eleanor Porter-Nelson, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

26663 Issued in MN

Practice address

2136 Ford Pkwy # 5294
Saint Paul, MN 55116-2850

Phone

(612) 467-9924

Fax

(612) 234-4261

NPI assigned

Sep 15, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eleanor Nelson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

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.

• Eleanor Porter-Nelson, Inc

  • Mental Health Counselor
  • Saint Paul, MN
  • NPI 1417675612
  NPD Authorized official

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

{
    "created_epoch": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1548718869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-467-9924",
            "fax_number": "612-234-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 FORD PKWY # 5294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551162850",
            "telephone_number": "612-467-9924",
            "fax_number": "612-234-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER-NELSON",
        "first_name": "ELEANOR",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-15",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "26663",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.018524",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1548718869",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eleanor@millcitypsychotherapy.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Eleanor Porter-Nelson, Inc",
            "address_1": "2136 Ford Pkwy # 5294",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551162850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELEANOR",
            "last_name": "NELSON",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Naomi Poole, MSW, LICSW
• Kristina Popov, FNP
• Nadia Poquette, PA
• Joan Porcher, RD
• Carolyn Marie Porta, PHD, MPH, RN, SANE-A
• Amy Jo Porter, PTA
• Shasha Caroline Porter
• Lisa D Portinga, MSW
• Andrew John Portis, M.D.
• Angela Posine, CD(DONA)

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.