Nelson, Michelle
Nelson, Michelle is an individual health care provider with primary practice located at 3458 Neely Rd , Mc Guire Afb NJ 08641-5312. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Nelson, Michelle can be contacted via phone (609) 754-9448.Contact Information
Primary practice address
3458 Neely Rd
Mc Guire Afb NJ 08641-5312
Phone: (609) 754-9448
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC00214700 | New Jersey |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1083605794 |
|---|---|
| LBN Legal business name | Nelson, Michelle |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 15th, 2021 - about 5 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 | 1083605794 | NPPES |
| New Jersey | Other | 44SC00214700 | LCSW |
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