Individual provider Active NPI

Stacy Ann Nelsen, LCSW

  • Clinical Social Worker
  • Fort Hood, TX
National Provider Identifier
1720002157
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
52126 Issued in TX
Practice address
590 Medical Center Road
Fort Hood, TX 76544
Phone
(254) 288-6474
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 52126 TX Primary

Addresses

Primary practice location

590 Medical Center Road
Fort Hood, TX 76544

Mailing address

14125 W State Highway 29 Ste B203-306
Liberty Hill, TX 78642-2207
Phone (512) 966-1996

Other practice location 1

14125 W State Highway 29 Ste B203-306
Liberty Hill, TX 78642-2207
Phone (512) 818-6747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
52126TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 19, 2024 Accepting new patients

Locations

1000 Post and Paddock St
Ste 102
Grand Prairie, TX 75050

2911 A W Grimes Blvd
Ste 330
Pflugerville, TX 78660
Phone (512) 649-2270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1720002157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 W STATE HIGHWAY 29 STE B203-306",
            "city": "LIBERTY HILL",
            "state": "TX",
            "postal_code": "786422207",
            "telephone_number": "512-966-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 MEDICAL CENTER ROAD",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "76544",
            "telephone_number": "254-288-6474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14125 W State Highway 29 Ste B203-306",
            "address_purpose": "LOCATION",
            "city": "Liberty Hill",
            "state": "TX",
            "postal_code": "786422207",
            "country_code": "US",
            "telephone_number": "512-818-6747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSEN",
        "first_name": "STACY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Hood, TX

Sources for this page

Verify at the official NPI Registry.