Andrea Marie Nelson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

107268 Issued in IA

Practice address

1605 N Ankeny Blvd Ste 110
Ankeny, IA 50023-4163

Phone

(515) 619-6855

Fax

(515) 373-3270

NPI assigned

Nov 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Evergreen Therapy Services, LLC

  • Clinical Social Worker
  • Ankeny, IA
  • NPI 1609681931

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1942919063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 53RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503121821",
            "telephone_number": "206-778-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N ANKENY BLVD STE 110",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234163",
            "telephone_number": "515-619-6855",
            "fax_number": "515-373-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-17",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "107268",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "107268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DEPT. OF PUBLIC HEALTH / BOARD OF SOCIAL WORK",
            "identifier": "107268",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "annie@evergreentherapyiowa.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1605 N Ankeny Blvd Ste 110",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500234163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Natural Health Chiropractic and Acupuncture LLC
• Natural Health Family Medicine Clinic
• Ian Sean Neff, LMSW
• Emily Violet McLain Negi
• Deannedrea Nichole Negley
• Talia Nelson
• Matthew Michael Ness, MHC, MFT
• Elisabeth Netjes, LMFT
• Neurology Diagnostics Group, PLLC
• Neurotech, LLC

• Clinical Social Worker in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.