NPIMap

Individual provider Active NPI

Jamie Lucille Nelson, MSW, LICSW, CEAP

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1861670804
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13685 Issued in MN
Practice address
1660 Highway 100 S
Suite 430
Minneapolis, MN 55416-1529
Phone
(952) 224-9674
Fax
(612) 342-2422
NPI assigned
Feb 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13685 MN Primary

Addresses

Primary practice location

1660 Highway 100 S
Suite 430
Minneapolis, MN 55416-1529

Mailing address

1660 Highway 100 S
Suite 430
Minneapolis, MN 55416-1529
Phone (952) 224-9674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dor Past Accepting new patients
Dor and Associates, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201824000000",
    "number": "1861670804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 430",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-224-9674",
            "fax_number": "612-342-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HIGHWAY 100 S",
            "address_2": "SUITE 430",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554161529",
            "telephone_number": "952-224-9674",
            "fax_number": "612-342-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JAMIE",
        "middle_name": "LUCILLE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LICSW, CEAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.