Carol Lynn Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009918 Issued in VA

Practice address

8767 Seminole TRL Ste 201C
Ruckersville, VA 22968-3494

Phone

(239) 405-1249

NPI assigned

Jun 3, 2010

Last updated

Oct 9, 2017By the provider in NPPES

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

Enrolled in VA

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 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carol L Nelson, LCSW, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ruckersville, VA
  • NPI 1841852423

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507507200000",
    "number": "1881914786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 201C",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "239-405-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8767 SEMINOLE TRL STE 201C",
            "city": "RUCKERSVILLE",
            "state": "VA",
            "postal_code": "229683494",
            "telephone_number": "239-405-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CAROL",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2017-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9895",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881914786",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dannette Nichelle Morris, FNP-C
• Kelsey Morris
• Natalie L Murphy, ARNP
• Crystal D Myers, LPC
• Cynthia Falk Napier, NP
• Andy Thien Nguyen
• Frank Oliveri, D.C.
• Harry Vergara Pancho
• Samantha Parker, OTR/L
• Heather Joanna Parrott, M.ED., CF-SLP

• Clinical Social Worker in Ruckersville, VA
• Providers in Ruckersville, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.