Individual provider Active NPI

Joe Nelson, LCSW

  • Clinical Social Worker
  • Corydon, IN
National Provider Identifier
1780116418
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34010842A Issued in IN
Practice address
757 Sky Way Dr NW
Corydon, IN 47112-6965
Phone
(812) 225-2902
NPI assigned
Mar 31, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 114864731 TN
Clinical Social Worker 1041C0700X 258679 KY
Clinical Social Worker 1041C0700X 34010842A IN Primary

Addresses

Primary practice location

757 Sky Way Dr NW
Corydon, IN 47112-6965

Mailing address

757 Sky Way Dr NW
Corydon, IN 47112-6965
Phone (812) 225-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20241016003337 IN Practitioner - Clinical Social Worker 2567994429 Reassigns benefits to 3 organizations
I20241017000773 TN Practitioner - Clinical Social Worker 2567994429 Reassigns benefits to 1 organization
I20241107001135 KY Practitioner - Clinical Social Worker 2567994429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1400 Main St
Unit 176
Clarksville, IN 47129-3108
Phone (812) 225-2902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
114864731TNMDMental Health Counselor
34010842AINMDClinical Social Worker
258679KYMDClinical Social Worker
9172TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Headway Florida Behavioral Health Services, P.a. CurrentSince Apr 14, 2025 Accepting new patients
Jclinic LLC CurrentSince Feb 11, 2024 Accepting new patients
Sondermind, P.a. Mental Health CurrentSince Feb 1, 2026 Accepting new patients
Zollinger'S Clinic Clinical Current Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients
Auxilium Psychological Services, LLC Past Accepting new patients

Locations

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

200 Continental Dr
Ste 401
Newark, DE 19713
Phone (302) 238-6200

1400 Main St
Unit 176
Clarksville, IN 47129
Phone (812) 225-2902

333 N Alabama St
Indianapolis, IN 46204
Phone (317) 395-3391

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

2031 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 344-9490

205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

Organizations & group practices 8

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1780116418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 SKY WAY DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471126965",
            "telephone_number": "812-225-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 SKY WAY DR NW",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471126965",
            "telephone_number": "812-225-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JOE",
        "name_prefix": "Prof.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-31",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "114864731",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258679",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010842A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corydon, IN

Sources for this page

Verify at the official NPI Registry.