Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dayton Joel Nelsen, LMSW

Individual provider Social Worker · NPI 1417670654

Dayton Joel Nelsen, LMSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Provident Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

2650 Olive St
Saint Louis, MO 63103-1489
Phone: (314) 802-2647
Fax: (314) 842-2552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2022046260 (MO)
Social Worker Taxonomy 104100000X · Licence 2020031628 (MO)

Record details

NPI number1417670654
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorNo
NPI enumeratedSeptember 22, 2022
Last updated in NPPESDecember 2, 2022
Certification dateDecember 2, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Provident Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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