Mary Nelson, LISW-CP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5548 Issued in SC

Practice address

500 N Main St
Summerville, SC 29483-6439

Phone

(843) 871-4790

Fax

(843) 871-8579

NPI assigned

Jul 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1760680540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439",
            "telephone_number": "843-871-4790",
            "fax_number": "843-871-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN ST",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294836439",
            "telephone_number": "843-871-4790",
            "fax_number": "843-871-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARY",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW-CP LINCENSE",
            "identifier": "5548",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AD16DO",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Elizabeth Neeley, LPC
• Amanda Callison Neikirk, LPC, ME.D.
• Eileen M Neilan-Snee, NP
• Anna Neipp, RPH
• Angela E Nelson
• Nancy Nettles, PTA
• New Beginnings Human Services Agency
• New Hope Professional Psychological Services, LLC
• Lenzee Newman, LMSW
• Meghan V Newman, LMHC

• Mental Health Counselor in Summerville, SC
• Providers in Summerville, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.