Donovan Everton Nelson, BA., LMSW., MSC.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

049904 Issued in NY

Practice address

2090 Adam Clayton Powell Jr Blvd FL 4
New York, NY 10027-4941

Phone

(212) 553-6751

Fax

(718) 355-8985

NPI assigned

Jan 25, 2023

Sex

Male

Sole proprietor

Yes

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

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1740996545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 RADCLIFF AVE APT 1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104693842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 ADAM CLAYTON POWELL JR BLVD FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274941",
            "telephone_number": "212-553-6751",
            "fax_number": "718-355-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DONOVAN",
        "middle_name": "EVERTON",
        "name_prefix": "Mr.",
        "credential": "BA., LMSW., MSC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "049904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deena Jacobeth Nelson, M.D.
• Deirdre Nelson, PA-C
• Deshawn Henry Nelson, MA
• Devin Nelson
• Diana Nelson, FNP-BC
• Emma Nelson, PA-C
• Emma Fricke Nelson, MS ED
• Eric Gerald Nelson, AU.D.
• Ericka Nelson
• Evans Nelson

• Social Worker in New York, NY
• Providers in New York, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.