Michael Kenneth Nelson in Utica - Clinical
Michael Kenneth Nelson - NPI 1487673984
Michael Kenneth Nelson is a Clinical in Utica, Illinois. Michael Kenneth Nelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Michael Kenneth Nelson is 1487673984. The last update date is 2007-07-08.
Michael Kenneth Nelson's current location address is 2875 E 777th Rd, Utica, Illinois. You can contact this provider via phone number 8156674192. The mailing address for Michael Kenneth Nelson is 2875 E 777th Rd, Utica, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kenneth Nelson |
|---|---|
| Address | 2875 E 777th Rd, Utica, Illinois |
| Phone Number | 8156674192 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1487673984 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2875 E 777th Rd |
|---|---|
| City | Utica |
| State | Illinois (IL) |
| Post Code | 613739758 |
| Phone Number | 8156674192 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Michael Kenneth Nelson by the Centers for Medicare & Medicaid Services?
The Michael Kenneth Nelson has been issued the NPI (National Provider Identifier) 1487673984, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Michael Kenneth Nelson is geographically located?
The Michael Kenneth Nelson is physically situated at the following location: 2875 E 777Th Rd, Utica, IL, 613739758.
What is Michael Kenneth Nelson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michael Kenneth Nelson is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487673984 to Michael Kenneth Nelson?
The Centers for Medicare & Medicaid Services originally issued the 1487673984 to Michael Kenneth Nelson on 2006-07-18.
As of what date were the Michael Kenneth Nelson's details last updated?
The information pertaining to the Michael Kenneth Nelson, including its address, specialty, and other details, was most recently updated on 2007-07-08.