Individual provider Active NPI

Nelson Lloyd Hadler, LCSW, LCADC, CCS

  • Clinical Social Worker
  • Fort Myers, FL
National Provider Identifier
1952748980
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04562500 Issued in NJ
Practice address
8192 College Pkwy
Fort Myers, FL 33919-5175
Phone
(973) 713-7957
Fax
(239) 673-0497
NPI assigned
May 31, 2013
Reactivated
Jan 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00168900 NJ
Multi-Specialty Clinic/Center 261QM1300X SW13630 FL
Multi-Specialty Clinic/Center 261QM1300X SW13630
Clinical Social Worker 1041C0700X 44SC04562500 NJ Primary

Addresses

Primary practice location

8192 College Pkwy
Fort Myers, FL 33919-5175

Mailing address

4118 NW 11TH Ter
Cape Coral, FL 33993-9144
Phone (973) 713-7957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20200218000949 FL Practitioner - Clinical Social Worker 6103253976 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8192 College Pkwy
Suite B52
Fort Myers, FL 33919-5179
Phone (973) 713-7957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00168900NJMDAddiction (Substance Use Disorder) Counselor
44SC04562500NJMDClinical Social Worker
SW13630FLMDMulti-Specialty Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
D J Koehn Consulting Services Inc. Multi-Specialty CurrentSince Jan 11, 2020 Accepting new patients
Nelson L Hadler, LLC Clinical CurrentSince Aug 1, 2020 Accepting new patients
Nelson L. Hadler, LLC Multi-Specialty CurrentSince Jul 29, 2021 Accepting new patients

Locations

8192 College Pkwy
Ste B52
Fort Myers, FL 33919
Phone (973) 713-7951

8359 Beacon Blvd
Ste 304
Fort Myers, FL 33907
Phone (571) 309-7993

15611 New Hampshire Ct
Fort Myers, FL 33908
Phone (973) 713-7957

15611 New Hampshire Ct
Ste A
Fort Myers, FL 33908
Phone (239) 738-5573

Organizations & group practices 3

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": "1369958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1952748980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4118 NW 11TH TER",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339939144",
            "telephone_number": "973-713-7957",
            "fax_number": "239-673-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8192 COLLEGE PKWY",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195175",
            "telephone_number": "973-713-7957",
            "fax_number": "239-673-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADLER",
        "first_name": "NELSON",
        "middle_name": "LLOYD",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC, CCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "deactivation_date": "2019-01-03",
        "reactivation_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00168900",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": "SW13630",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": "SW13630",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04562500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.