WENDY NELSON (NPI# 1881036275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881036275 |
| Entity Type | Individual |
| Full Name | WENDY NELSON |
| Credential | LCSW |
| Practice Address |
60 N Broadway St Blackfoot ID 83221-2706 |
| Mailing Address |
60 N Broadway St Po Box 1472 Blackfoot ID 83221-2706 |
| Practice Telephone | 2087823434 |
| Practice Fax Number | 2087821389 |
| Mailing Telephone | 2087823434 |
| Mailing Fax Number | 2087821389 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-25124 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356838908 | Wendy Lee Nelson | Physical Therapy Assistant | 5732 Flora Ave, Holiday, FL 34690-6562 | 2018-04-19 |
| 1457507576 | Wendy Alice Nelson | Nurse Practitioner | 757 Westwood Plz Ste 2146, Los Angeles, CA 90095-0001 | 2008-08-08 |
| 1285659821 | Wendy C Nelson | Physical Therapist | 2846 Moody Pkwy, Ste 200, Moody, AL 35004-3328 | 2006-07-13 |
| 1083211320 | Wendy E Nelson | Dietitian, Registered | 1003 Willow Creek Rd, Prescott, AZ 86301-1668 | 2020-10-08 |
| 1497215768 | Wendy Mercedes Nelson | Registered Nurse | 13501 Ne 28th St, Vancouver, WA 98682-8091 | 2019-03-22 |
| 1205380961 | Wendy Lynn Nelson | Speech-Language Pathologist | 528 E Spokane Falls Blvd, Suite 502, Spokane, WA 99202-5081 | 2016-08-11 |
| 1548693914 | Wendy Nicole Nelson | Registered Nurse | 300 W Oak St, Cottage Grove, WI 53527-9118 | 2013-08-20 |
| 1104076462 | Wendy J Nelson | Nurse Practitioner | 8851 Center Dr, Suite 500, La Mesa, CA 91942-3017 | 2008-09-23 |
| 1124239702 | Wendy Nelson | Counselor | 700 E 9th Ave, Denver, CO 80203-3360 | 2007-05-24 |
| 1083822258 | Wendy Elizabeth Nelson | Counselor | 124 W 79th St, Suite 1b, New York, NY 10024-6470 | 2007-05-19 |
| Street Address |
60 N BROADWAY ST |
| City | BLACKFOOT |
| State | ID |
| Zip Code | 83221-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174656664 | J&m Mental Health, Inc. | Social Worker | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2007-03-13 |
| 1598224826 | Larry Christian Jones | Social Worker | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2019-03-16 |
| 1548602998 | Shelley Scott | Counselor | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2013-07-26 |
| 1063854461 | Darin Perry | Marriage & Family Therapist | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2013-07-25 |
| 1265556831 | J&m Mental Health, Inc. | Community/Behavioral Health | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2007-03-19 |
| 1609990274 | J&m Mental Health, Inc. | Case Management | 60 N Broadway St, Blackfoot, ID 83221-2706 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932711165 | Samantha Paige Averett | Social Worker | 60 N Broadway, Blackfoot, ID 83221 | 2020-08-19 |
| 1730711656 | Sara Marie Letham | Family Medicine | 33 S Thompson Lane, Blackfoot, ID 83221 | 2020-02-08 |
| 1962994962 | Tyler Thomas Wood | Student in an Organized Health Care Education/Training Program | 98 Poplar Street, Blackfoot, Id 83221, Blackfoot, ID 83221 | 2018-06-05 |
| 1801336276 | Bmh, Inc. | Internal Medicine | 235 Poplar St, Blackfoot, ID 83221 | 2017-03-03 |
| 1497119804 | Susan Doran | Social Worker | 720 E. Alice, Blackfoot, ID 83221 | 2016-04-12 |
| 1427412121 | Josie Russell Adkins | Counselor | 720 East Alice, Blackfoot, ID 83221 | 2016-04-08 |
| 1740590314 | Ashley Nichole Thomas | Physician Assistant | 710 E. Alice Street, Blackfoot, ID 83221 | 2010-10-18 |
| 1528373313 | Stephanie Lynn Henderson | Dietitian, Registered | 1555 Vernon Ave, Blackfoot, ID 83221 | 2010-08-17 |
| 1184850141 | Joy H. Taylor | Nurse Practitioner | 1441 Parkway Drive, Blackfoot, ID 83221 | 2009-06-04 |
| 1427232925 | Nathan E. Sneddon | Anesthesiology | 98 Poplar St Fl 3, Blackfoot, ID 83221 | 2007-12-20 |
| Find all providers in zip 83221 | ||||
| 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 |
|---|---|---|---|---|
| 1386297281 | A Good Day LLC | Social Worker | 420 W Highway 26, Blackfoot, ID 83221-5521 | 2019-07-19 |
| 1033541933 | Michele Kelly | Social Worker | 295 Centennial Street, Blackfoot, ID 83221-2700 | 2013-08-01 |
| 1467518704 | Anne Marie Preston | Social Worker | 840 Jewell St, Blackfoot, ID 83221-3074 | 2006-12-29 |
| 1548330814 | Genevieve Lafaye Thomas | Social Worker | 199 W Bridge St, Blackfoot, ID 83221-2704 | 2006-11-08 |
| 1831272970 | Barbara Pancoast Young | Social Worker | 1053 W Bridge St, Blackfoot, ID 83221 | 2006-10-23 |
| 1326670845 | Ben Lazarus Fox | Social Worker | 1309 Camas St, Blackfoot, ID 83221-3060 | 2020-02-12 |
| 1851884142 | Rebecca Freeburne | Social Worker | 199 W Bridge St, Blackfoot, ID 83221-2704 | 2018-06-11 |
| 1912444936 | Bailey Jo Alvarez | Social Worker | 98 Poplar St, Blackfoot, ID 83221-1758 | 2017-01-28 |
| 1912374810 | Stefney Layton | Social Worker | 75 Lilac St, Blackfoot, ID 83221-1768 | 2015-08-26 |
| 1467792036 | Jessica Nickerson | Social Worker | 1309 Camas St, Blackfoot, ID 83221-3060 | 2013-02-19 |
| Find all providers in BLACKFOOT | ||||
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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.