ANDREA NELSON (NPI# 1427441104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427441104 |
| Entity Type | Individual |
| Full Name | ANDREA NELSON |
| Other Name | ANDREA RENSHAW |
| Credential | MSW, LCSW |
| Practice Address |
3600 Tower Ave Ste 1 Superior WI 54880-5590 |
| Practice Telephone | 7153921955 |
| Practice Fax Number | 7153921935 |
| Mailing Telephone | 7153921955 |
| Mailing Fax Number | 7153921935 |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
21278 | MN | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
8280-123 | WI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4325 Grand Ave, Duluth, MN 558072730 | 2187221497 | 2187222468 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710343413 | Andrea Jo Nelson | Licensed Practical Nurse | 256 Bergholz Rd Ne, Mechanicstown, OH 44651-9039 | 2016-01-11 |
| 1346563541 | Andrea Nelson | Physical Therapist | 13400 Nw Gilson Rd, Palm City, FL 34990 | 2010-03-02 |
| 1386662369 | Andrea Nelson | Psychologist | 530 W Ojai Ave, Suite 206, Ojai, CA 93023-2472 | 2006-07-17 |
| 1699750083 | Andrea Mraz Nelson | Physical Therapist | 5401 Corporate Woods Dr, Suite 300, Pensacola, FL 32504-8984 | 2005-12-08 |
| 1598365892 | Andrea Nelson | Counselor | 2709 Alcatraz Ave, Berkeley, CA 94705-2705 | 2020-10-27 |
| 1003464405 | Andrea Nelson | Behavior Technician | 1819 E Springfield Ave Ste H, Spokane, WA 99202-2954 | 2019-08-28 |
| 1720563604 | Andrea April Nelson | Registered Nurse | 401 S Main St, Deer Park, WA 99006-8238 | 2018-09-26 |
| 1871001495 | Andrea Neil Nelson | Registered Nurse | 1500 W 22nd St, Sioux Falls, SD 57105-7702 | 2018-01-17 |
| 1558726463 | Andrea Nelson | Occupational Therapist | 12493 University Ave Ste 100, Clive, IA 50325-8286 | 2015-12-18 |
| 1023407020 | Andrea Nelson | Physical Therapy Assistant | 135 Warner St, Rockwell City, IA 50579-1722 | 2015-01-13 |
| Street Address |
3600 TOWER AVE STE 1 |
| City | SUPERIOR |
| State | WI |
| Zip Code | 54880-5590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427194 | Alana Catherine Sullivan | Speech-Language Pathologist | 25 N 25th Street E, Superior, WI 54880 | 2020-11-05 |
| 1710524970 | Sean Wiberg Peterson | Specialist/Technologist | 1810 Catlin Ave, Room 1246, Superior, WI 54880 | 2019-12-06 |
| 1558858936 | Brent Adam Engstrom | Student in an Organized Health Care Education/Training Program | 1410 Nth 23rd Street, Superior, WI 54880 | 2018-04-20 |
| 1558769125 | David Kroll | Specialist | Balknap & Catlin Aves., Superior, WI 54880 | 2014-12-15 |
| 1154670321 | Superior Treatment Center, Inc | Community/Behavioral Health | 1507 Tower Ave Ste 307, Superior, WI 54880 | 2012-09-04 |
| 1548551658 | Dionne Jeannine Corcoran | Midwife | 916 Hammond Ave Ste 222, Superior, WI 54880 | 2011-04-22 |
| 1821235433 | Lauren Ashley Miller | Speech-Language Pathologist | 35 N. 28th Street, Superior, WI 54880 | 2009-01-20 |
| 1528261989 | Stacy Ann Kennelly | Physical Therapist | 1612 N 37th Street, Superior, WI 54880 | 2007-06-06 |
| 1760564942 | James Henry Dobis | Family Medicine | 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 | 2006-10-19 |
| 1134214398 | Kevin M Mikel | Dentist | 3312 Tower Avenue, Superior, WI 54880 | 2006-10-04 |
| Find all providers in zip 54880 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164942744 | Linea Maxwell | Social Worker | 1477 S Fork Nemote Creek Rd, Superior, MT 59872-9681 | 2017-06-23 |
| 1386954410 | Elizabeth Wilson Graybill | Social Worker | 1124 E Akron Pl, Superior, CO 80027-8054 | 2010-10-07 |
| 1508877291 | Victor Labarre Stampley | Social Worker | 405 Brooklyn Avenue, Superior, MT 59872 | 2006-08-10 |
| 1356396063 | Jeff Michael Hall | Social Worker | 3520 Tower Ave, Superior, WI 54880-5335 | 2006-05-23 |
| 1376158204 | Anne L Roeser | Social Worker | 1500 N 34th St Ste 200, Superior, WI 54880-4477 | 2020-09-08 |
| 1659911014 | Mary K Robinson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2020-01-13 |
| 1427539840 | Megan Eriika Shipley | Social Worker | 1500 N 34th St, Superior, WI 54880-4477 | 2018-08-23 |
| 1992229579 | Renee Christine Karth-pearson | Social Worker | 3500 Tower Ave, Superior, WI 54880-4491 | 2017-07-26 |
| 1578995825 | Jane Elizabeth Larson | Social Worker | 1500 N 34th St, Suite 200, Superior, WI 54880-4477 | 2013-08-08 |
| 1629366968 | Aaron Daniel Pust | Social Worker | 3600 Tower Ave, Superior, WI 54880-5589 | 2011-07-20 |
| Find all providers in SUPERIOR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.