Tomanda Nelson, LCSW CASAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

079366 Issued in NY

Practice address

804 E 138TH St
Bronx, NY 10454-1902

Phone

(718) 665-7500

Fax

(718) 665-4768

NPI assigned

Jun 29, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Honor L.L.C.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Arcadia, FL
  • NPI 1669118998
  NPD Authorized official

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1841711900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541902",
            "telephone_number": "718-665-7500",
            "fax_number": "718-665-4768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 E 138TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104541902",
            "telephone_number": "718-665-7500",
            "fax_number": "718-665-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TOMANDA",
        "credential": "LCSW CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-29",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23894",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Lee Nelson, PSYD
• Tanya Nelson, R.N. AND FNP
• Tara Nelson, SOCIAL WORKER
• Ted I Nelson, LCSW
• Teri Elizabeth Nelson
• Tonnie-Ann Nelson
• Toriana Nelson
• Valerie C Nelson, MS CM LM
• Veneisha Nelson
• Victoria Loren Nelson, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2022; 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.