Bret Nielson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149022187 Issued in IL

Practice address

1518 Walnut St Ste 1100
Philadelphia, PA 19102-3406

Phone

(224) 408-0390

NPI assigned

Oct 7, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Bret J. Nielson, LLC

  • Clinical Social Worker
  • Philadelphia, PA
  • NPI 1326644139
  NPD Authorized official

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1639776149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE STE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013860",
            "telephone_number": "224-408-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 WALNUT ST STE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191023406",
            "telephone_number": "224-408-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1603 Orrington Ave Ste 600",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013860",
            "country_code": "US",
            "telephone_number": "224-408-0390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSON",
        "first_name": "BRET",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149022187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Niedosik
• Maelynn Niehaus, OD
• Ashley Elizabeth Nielsen, PA-C
• Katherine Nielsen, L.AC.
• Natasha M Nielsen
• Amanda Lynn Niemcewicz, PA-C
• Yanina Niemiec
• Eliot Nierman, MD
• Weston Lawrence Niermeyer, MD
• Jorge E Nieto, R.D.H., D.M.D.

• Clinical Social Worker in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.