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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL KENNETH NELSON, LCSW

Active Sole Proprietor

MICHAEL KENNETH NELSON, LCSW is a Clinical Social Worker healthcare provider located in UTICA, Illinois. NPI 1487673984 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · UTICA, IL

Registration Details

NPI Number
1487673984
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (19.899848402421 yrs)
Last Updated
Jul 8, 2007
Sole Proprietor
Yes

Practice Information

Address
2875 E 777TH RD
UTICA, IL, 613739758
Browse IL providers · Browse ZIP 61373
Phone
8156674192
Primary Specialty
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.