Kathleen E Nelson, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1999138000 Issued in MO

Practice address

910 N College Ave Ste 4
Columbia, MO 65201-4797

Phone

(636) 642-1215

Fax

(573) 234-4799

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1972247922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 N COLLEGE AVE STE 4",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014797",
            "telephone_number": "636-642-1215",
            "fax_number": "573-234-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KATHLEEN",
        "middle_name": "E",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "1999138000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wayne Neighbors, C.O., B.O.C.O.
• Terrissa Marie Neimeyer
• Alyssa Renee Neitzert, NP
• Laura Nekkanti, RDH
• Christopher S Nelson, M.D.
• Kathy S Nelson, OTR/L, CHT
• Michaela Salisbury Nelson, DO
• Nicole Christin Nelson, DO
• Riley Isis Nelson
• Taylor B Nelson, D.O.

• Clinical Social Worker in Columbia, MO
• Providers in Columbia, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.