Mary Nelson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.024736 Issued in IL

Practice address

2807 Central St.
Evanston, IL 60201-6061

Phone

(224) 688-4848

NPI assigned

Jan 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1902510340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 N SANDBURG TER APT 2701B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606105599",
            "telephone_number": "224-688-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 CENTRAL ST.",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602016061",
            "telephone_number": "224-688-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.024736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Edward Neahring, MD
• Lauren Neaman, PSY.D.
• Mara Anda Negru, PA-C
• Michael G Nellamattathil, DO
• Kaitlyn M Nellessen, MS, OTR/L
• Michael Edward Nelson, M.D.
• Rebecca I Nelson, PHD
• Sherry Graham Nelson, LCSW
• Victoria Ann Nelson, LPC
• Wajdey Nesheiwat, PA-C

• Clinical Social Worker in Evanston, IL
• Providers in Evanston, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.