ALEXIS NELSON (NPI# 1730384207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730384207 |
| Entity Type | Individual |
| Full Name | ALEXIS NELSON |
| Practice Address |
308 E 21st Ave Gary IN 46407-2618 |
| Practice Telephone | 2198861320 |
| Practice Fax Number | 2198861319 |
| Mailing Telephone | 2198861320 |
| Mailing Fax Number | 2198861319 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902318215 | Alexis Nelson | In Home Supportive Care | 17597 Stoepel St, Detroit, MI 48221-2646 | 2017-10-26 |
| 1467089201 | Alexis Nelson | Behavior Technician | 15501 Weston Pkwy Ste 130, Cary, NC 27513-8641 | 2020-03-23 |
| 1184916793 | Alexis Eberle Nelson | Psychiatry & Neurology | 673 Mdg, 5955 Zeamer Avenue, Jb Elmendorf-richardson, AK 99506 | 2011-05-15 |
| Street Address |
308 E 21ST AVE |
| City | GARY |
| State | IN |
| Zip Code | 46407-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144353715 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-03-13 |
| 1376974246 | Willowglen Academy-in, Inc. | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2013-12-03 |
| 1023339587 | Tashena R Lollis | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1194046698 | Bunnie J Fleming | Licensed Practical Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-18 |
| 1750602355 | Kecia Marie Blakely | Psychologist | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1790006302 | Darlene Roseta Tolbert | Registered Nurse | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-17 |
| 1073834875 | Marilyn M. Caruthers | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2010-06-15 |
| 1073788113 | Willowglen Academy - Indiana | Residential Treatment Facility, Emotionally Disturbed Children | 308 E 21st Ave, Gary, IN 46407-2618 | 2008-04-29 |
| 1598960064 | Terald Blakey | Counselor | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| 1720283278 | Pamela Gabor | Social Worker | 308 E 21st Ave, Gary, IN 46407-2618 | 2007-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1891930913 | Angela Juanita Anderson | General Practice | 2353 Madison Street, Gary, IN 46407 | 2008-12-03 |
| 1548470537 | Rae Emerick | Speech-Language Pathologist | 2350 Taft Street, Gary, IN 46407 | 2007-05-22 |
| 1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1356476287 | Chube Medical Corporation | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2007-02-22 |
| 1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
| 1477042505 | Ileana Green | Nurse Practitioner | 1400 Broadway, Gary, IN 46407 | 2018-05-03 |
| 1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
| 1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
| Find all providers in zip 46407 | ||||
| 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 |
|---|---|---|---|---|
| 1710594783 | Shirley L Story-nelson | Social Worker | 4956 Washington St, Gary, IN 46408-4609 | 2020-09-24 |
| 1346885928 | Cynthia Oliver | Social Worker | 2179 Grant St, Gary, IN 46404-3042 | 2019-11-07 |
| 1972933349 | Willowglen Academy-in, Inc | Social Worker | 4955 Broadway, Gary, IN 46409-2706 | 2013-11-20 |
| 1851682587 | Ladwana Retic | Social Worker | 4416 East 6th Avenue, Gary, IN 46403 | 2011-04-28 |
| 1154642254 | Elaine Spicer | Social Worker | 1225 N Warren St, Gary, IN 46403-1560 | 2010-06-13 |
| 1972822955 | Rosie Lee Thompson | Social Worker | 6425 Birch Ave, Gary, IN 46403-1923 | 2010-05-29 |
| 1275764896 | Apostolic Youth & Family Services | Social Worker | 4645 Broadway, Gary, IN 46409-2461 | 2009-07-30 |
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1932203569 | Elnora G Cleveland | Social Worker | 3529 Pierce St, Gary, IN 46408-1545 | 2006-09-12 |
| 1386645331 | Jennifer Noonan | Social Worker | 4900 Broadway, Gary, IN 46408-4605 | 2005-08-02 |
| Find all providers in GARY | ||||
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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.