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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184121303

Patina E Nelson, LCDCIII is a Mental Health Counselor in Cincinnati, Ohio. Qualified in 2020, 6 years ago. Practices with Cleanslate Medical Group of Ohio LLC, a 10-clinician group. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

311 Martin Luther King Dr W
Cincinnati, OH 45220
Phone: (513) 475-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 161433 (OH)

Record details

NPI number1184121303
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCDCIII
Sole proprietorYes
NPI enumeratedApril 13, 2018
Last updated in NPPESApril 13, 2018

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleanslate Medical Group Of Ohio Llc — 10 clinicians
Accepts Medicare assignment Not indicated

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