Susan C, Nelson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LCS 21304 Issued in CA

Legal business name

SUSAN C, NELSON

Doing business as

Blue Ridge Counseling

Practice address

4535 Missouri Flat Rd
Suite 200 C
Placerville, CA 95667-6846

Phone

(530) 647-1763

Fax

(530) 647-1763

NPI assigned

Jul 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Collette Nelson, L.C.S.W.

Title

Licensed Clinical Social Worker

Phone

(530) 647-1763

Specialties & licenses 1

Addresses

Other names 1

• Blue Ridge Counseling Doing business as

Locations

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1568652659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1091",
            "city": "POLLOCK PINES",
            "state": "CA",
            "postal_code": "957261091",
            "telephone_number": "530-647-1763",
            "fax_number": "530-647-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 MISSOURI FLAT RD",
            "address_2": "SUITE 200 C",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676846",
            "telephone_number": "530-647-1763",
            "fax_number": "530-647-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN C, NELSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "COLLETTE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "530-647-1763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCS 21304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Ridge Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summitview Child & Family Services, Inc.
• Summitview Child & Family Services, Inc.
• Summitview Child & Family Services, Inc.
• Chase Suomi, CADC-III
• Supplemental Health Care
• Amanda Cheri Swetland
• Charles Swift, DC
• Jeremy Sykes
• Justine True Szekely, PA
• Robert Scott Taber, RPH

• Community/Behavioral Health Agency in Placerville, CA
• Providers in Placerville, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.