Active NPI
Jeri Lynn Nelson, CSW-PIP
- Clinical Social Worker
- Sioux Falls, SD
National Provider Identifier
1740575240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1513
- Practice address
- 2412 S Cliff Ave
Suite 200
Sioux Falls, SD 57105-4031 - Phone
- (605) 322-4079
- NPI assigned
- Jun 13, 2011
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1513 | SD | Primary |
Addresses
Primary practice location
2412 S Cliff Ave
Suite 200
Sioux Falls, SD 57105-4031
Mailing address
PO Box 5045
Attn: P.F.S. Prov Enrollment
Sioux Falls, SD 57117-5045
Phone (605) 322-6400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740575240 | Other | BCBS MN | |
| 2002867 | Medicaid | SD | |
| 1740575240 | Medicaid | IA | |
| 1740575240 | Other | DAKOTACARE | |
| 1740575240 | Other | WELLMARK BCBS/TRICARE | |
| 1740575240 | Medicaid | MN |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1513 | SD | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1740575240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5045",
"address_2": "ATTN: P.F.S. PROV ENROLLMENT",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571175045",
"telephone_number": "605-322-6400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2412 S CLIFF AVE",
"address_2": "SUITE 200",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571054031",
"telephone_number": "605-322-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "JERI",
"middle_name": "LYNN",
"credential": "CSW-PIP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-06-13",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "1513",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS MN",
"identifier": "1740575240",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2002867",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740575240",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "1740575240",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS/TRICARE",
"identifier": "1740575240",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740575240",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.