Danielle Nicole Nelson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50082396 Issued in DC

Practice address

500 19TH St NE
Washington, DC 20002-4710

Phone

(202) 830-8212

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Mindflower Limited Liability Company

  • Professional Counselor
  • Washington, DC
  • NPI 1801460977
  NPD
• Monument Academy Public Charter School

  • Local Education Agency (LEA)
  • Washington, DC
  • NPI 1427503465
  NPD (past)
• The Family Wellness Center, Inc

  • Case Management Agency
  • Washington, DC
  • NPI 1437534740
  NPD (past)
• The Family Wellness Center, Inc

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1609141704
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1740848795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CALL PL SE APT 403",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200197628",
            "telephone_number": "202-830-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 19TH ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024710",
            "telephone_number": "202-830-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DANIELLE",
        "middle_name": "NICOLE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50082396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candyce Renee Nelson
• Cathy Nelson
• Chermel Nelson
• Chrystal Monique Nelson
• Consquella Reena Nelson
• David Nelson
• Demetrias Travis Nelson
• Dennis Nelson, LICSW
• Diamond Nelson
• Donna Nelson

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.