Tina Maria Nelson, LCSW
Individual provider Active NPI Clinical Social Worker · Tyndall a F B, FL
NPI 1831167428 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1831167428
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 711 (AK)
- Practice address
- 340 Magnolia Cir
Tyndall a F B, FL 32403-5604 - Phone
- (850) 283-7511
- Fax
- (850) 283-7721
- NPI assigned
- Mar 9, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 711 | AK | Yes |
Addresses
Primary practice location
340 Magnolia Cir
Tyndall a F B, FL 32403-5604
Mailing address
130 Parker Village Cir
Panama City, FL 32404-6750
Phone (850) 283-7511
Other providers in Tyndall a F B, FL
All providers in Tyndall a F B, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.