Teresa Nelson in Ridgeland - Clinical

Teresa Nelson - NPI 1760574792

Teresa Nelson is a Clinical in Ridgeland, Mississippi. Teresa Nelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Teresa Nelson is 1760574792. The last update date is 2011-02-02.

Teresa Nelson's current location address is 665 Highway 51 Ste D, Ridgeland, Mississippi. You can contact this provider via phone number 6017075023 and fax number 6017075068. The mailing address for Teresa Nelson is 665 Highway 51 Ste D, Ridgeland, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name Teresa Nelson
Address 665 Highway 51 Ste D, Ridgeland, Mississippi
Phone Number 6017075023
Fax Number 6017075068
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1760574792
Provider Enumeration Date 2006-09-28
Last Updated Date 2011-02-02

Provider Mailing Address Detail

Address 665 Highway 51 Ste D
City Ridgeland
State Mississippi (MS)
Post Code 391572136
Phone Number 6017075023
Fax Number 6017075068

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No C0790
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2651769 MS --

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FAQs about Teresa Nelson

What is the unique 10-digit identification code issued to Teresa Nelson by the Centers for Medicare & Medicaid Services?

The Teresa Nelson has been assigned the NPI (National Provider Identifier) 1760574792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Teresa Nelson's facilities are geographically located?

The facilities of Teresa Nelson are physically situated at the following location: 665 Highway 51 Ste D, Ridgeland, MS, 391572136.

What is the Teresa Nelson's area of specialization and corresponding taxonomy classification?

The Teresa Nelson's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

When was the Teresa Nelson's 1760574792 issued?

The Teresa Nelson's 1760574792 was issued on 2006-09-28.

As of what date were the details pertaining to Teresa Nelson last refreshed?

The information related to the Teresa Nelson, including its address, specialty, and other relevant details, was last updated on 2011-02-02.

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