Debra Nelson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21216-P Issued in OK

Practice address

12301 S May Ave
Oklahoma City, OK 73170-4502

Phone

(405) 388-0006

NPI assigned

Nov 1, 2024

Sex

Female

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.

• Eclipse Counseling LLC

  • Professional Counselor
  • Oklahoma City, OK
  • NPI 1346803574
  NPD

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1649093469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 720025",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730704019",
            "telephone_number": "405-808-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 S MAY AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731704502",
            "telephone_number": "405-388-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DEBRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "21216-P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda L Nelson
• Cherrie Nelson
• Christopher Brett Nelson, M.D.
• Clayton Ellis Nelson, MD
• David P Nelson, MD
• Derek Nelson, MS
• Ellizabeth Rose Nelson
• Jade Nelson
• James Luke Nelson, DDS
• Jamie Nelson, M.ED.

• Clinical Social Worker in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.

Verify at the official NPI Registry.