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

Jennifer Nelson, LCSW

Individual provider Clinical Social Worker · NPI 1639648736

Jennifer Nelson, LCSW is a Clinical Social Worker in Edgewood, New Mexico. Qualified in 2018, 8 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

215 Cowboy Way
Edgewood, NM 87015-9616
Phone: (505) 464-7213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4 Audra Loop, Estancia, NM 87016 — (505) 464-7213

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C-12014 (NM)

Record details

NPI number1639648736
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 19, 2018
Last updated in NPPESJuly 21, 2024
Certification dateJuly 21, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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