Nelson, Jennifer
Nelson, Jennifer is an sole proprietor health care provider with primary practice located at 215 Cowboy Way , Edgewood NM 87015-9616. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nelson, Jennifer can be contacted via phone (505) 464-7213.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C-12014 | New Mexico |
Profile Details
| NPI number | 1639648736 |
|---|---|
| LBN Legal business name | Nelson, Jennifer |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2018 |
| Last updated | Jul 21st, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639648736 | NPPES |
| New Mexico | MEDICAID | 33014042 |
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