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Contact Information

JOANN A NELSON, LICSW
316 2ND AVE W
WILLISTON, ND58801
 Phone: 701-774-4600
 Fax: 701-774-4620
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JOANN A NELSON · (Female)

NPI Number 1588774723
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 08/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • ND License # 2174
  • ND Medicaid 54516
  • Other 0021762 BC/BS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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