Active NPI
Laura Elizabeth Nelson, LCSW
- Clinical Social Worker
- Bradford, PA
National Provider Identifier
1962694828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW016316
- Practice address
- 800 E Main St
Bradford, PA 16701-3278 - Phone
- (814) 362-5248
- Fax
- (814) 362-5263
- NPI assigned
- Aug 15, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CW016316 | PA | Primary |
Addresses
Primary practice location
800 E Main St
Bradford, PA 16701-3278
Mailing address
800 E Main St
Bradford, PA 16701-3278
Phone (814) 636-2524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251849600000",
"number": "1962694828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E MAIN ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013278",
"telephone_number": "814-636-2524",
"fax_number": "814-362-5263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E MAIN ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167013278",
"telephone_number": "814-362-5248",
"fax_number": "814-362-5263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2009-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW016316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.