Dennis Nelson, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC200001512 Issued in DC

Practice address

1375 Mount Olivet Rd NE
Washington, DC 20002-2509

Phone

(202) 760-9875

NPI assigned

Aug 7, 2015

Last updated

Apr 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1942686373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 V ST SE STE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207018",
            "telephone_number": "202-760-9875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 MOUNT OLIVET RD NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200022509",
            "telephone_number": "202-760-9875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5210 Auth Rd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Suitland",
            "state": "MD",
            "postal_code": "207464330",
            "country_code": "US",
            "telephone_number": "813-748-9115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DENNIS",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-07",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "16964",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chrystal Monique Nelson
• Consquella Reena Nelson
• Danielle Nicole Nelson, LICSW
• David Nelson
• Demetrias Travis Nelson
• Diamond Nelson
• Donna Nelson
• Eric Juan Nelson, RN
• Henry Nelson III
• Herbert Jerome Nelson Jr.

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.