John Michael Nelson in Munster - Clinical
John Michael Nelson - NPI 1093701542
John Michael Nelson is a Clinical in Munster, Indiana. John Michael Nelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for John Michael Nelson is 1093701542. The last update date is 2022-02-03.
John Michael Nelson's current location address is 9250 Columbia Ave Ste 2e, Munster, Indiana. You can contact this provider via phone number 2195950043 and fax number 2192372894. The mailing address for John Michael Nelson is 9250 Columbia Ave Ste 2e, Munster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Michael Nelson |
|---|---|
| Address | 9250 Columbia Ave Ste 2e, Munster, Indiana |
| Phone Number | 2195950043 |
| Fax Number | 2192372894 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093701542 |
|---|---|
| Provider Enumeration Date | 2005-09-21 |
| Last Updated Date | 2022-02-03 |
Provider Mailing Address Detail
| Address | 9250 Columbia Ave Ste 2e |
|---|---|
| City | Munster |
| State | Indiana (IN) |
| Post Code | 463213530 |
| Phone Number | 2195950043 |
| Fax Number | 2192372894 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 39000848A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 90000854 | IL | BCBSIL |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Michael Nelson?
The John Michael Nelson has been issued the NPI (National Provider Identifier) 1093701542 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where John Michael Nelson's facilities are situated?
The facilities of John Michael Nelson are physically located at the following address: 9250 Columbia Ave Ste 2E, Munster, IN, 463213530.
What is John Michael Nelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Michael Nelson's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
On what date did the John Michael Nelson receive its 1093701542 assignment from the Centers for Medicare & Medicaid Services?
The John Michael Nelson was assigned its 1093701542 by the Centers for Medicare & Medicaid Services on 2005-09-21.
As of what date was the information pertaining to John Michael Nelson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John Michael Nelson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-03.
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