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

Jerald Jerome Nelson, LICSW

Individual provider Clinical Social Worker · NPI 1629293758

Jerald Jerome Nelson, LICSW is a Clinical Social Worker in Moorhead, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

2925 20th St S
Moorhead, MN 56560-5269
Phone: (701) 318-4292
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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 07373 (MN)

Record details

NPI number1629293758
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedApril 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address13299 Wildflower Ln, Lake Park, MN 56554-9132

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