Active NPI
Stacey Nelson, MSW, LSW
- Social Worker
- Commerce City, CO
National Provider Identifier
1609942655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 9620083
- Practice address
- 4371 E 72ND Ave
Commerce City, CO 80022-1471 - Phone
- (303) 853-3636
- NPI assigned
- Nov 28, 2006
- 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 | 9620083 | CO | Primary |
Addresses
Primary practice location
4371 E 72ND Ave
Commerce City, CO 80022-1471
Mailing address
6240 S Monroe Dr
Centennial, CO 80121-3121
Phone (303) 740-7784
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 |
|---|---|---|---|
| 9620083 | CO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609942655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6240 S MONROE DR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801213121",
"telephone_number": "303-740-7784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 E 72ND AVE",
"city": "COMMERCE CITY",
"state": "CO",
"postal_code": "800221471",
"telephone_number": "303-853-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "STACEY",
"name_prefix": "Miss",
"credential": "MSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CO",
"license": "9620083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Commerce City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.