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

Michael Kenneth Nelson, LCSW

Individual provider Clinical Social Worker · NPI 1487673984

Michael Kenneth Nelson, LCSW is a Clinical Social Worker in Utica, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
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

2875 E 777th Rd
Utica, IL 61373-9758
Phone: (815) 667-4192
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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 (IL)

Record details

NPI number1487673984
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 18, 2006
Last updated in NPPESJuly 8, 2007
Mailing address2875 E 777th Rd, Utica, IL 61373-9758