Kevin Nelson, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801069261 Issued in MI

Practice address

3865 S Mackinac TRL
Sault Sainte Marie, MI 49783-9286

Phone

(906) 635-3788

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By the provider in NPPES

Sex

Male

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

Enrolled in MI

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

Specialty

Clinical Social Worker

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Mills Indian CommunityGroup PAC ID 8729079918, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1053592089
  Medicare reassignment Care Compare group NPD
• Bay Mills Indian Community

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1073711057
  NPD
• Bay Mills Indian Community

  dba Brimley Area Schools

  • Federally Qualified Health Center (FQHC)
  • Brimley, MI
  • NPI 1669235974
  NPD

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398124800000",
    "number": "1972923514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 443",
            "city": "BRIMLEY",
            "state": "MI",
            "postal_code": "497150443",
            "telephone_number": "810-730-2448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3865 S MACKINAC TRL",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497839286",
            "telephone_number": "906-635-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KEVIN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801069261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mymichigan Medical Center Sault
• Lauren Napoletano
• Brian Michael Nash
• Natalie Nash
• Salahuddin Nasir, M.D.
• Kathryn Neubert
• Jodi Marie Newell
• Patricia Ann Newhouse, M.D.
• Paula Nichols, NP
• Phillip W Niemi, D.O.

• Clinical Social Worker in Sault Sainte Marie, MI
• Providers in Sault Sainte Marie, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.