Nelson, Amy K

Nelson, Amy K is an individual health care provider with primary practice located at 621 N Lake Parker Ave , Lakeland FL 33801-2040. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Nelson, Amy K can be contacted via phone (863) 519-0575.

Contact Information

Primary practice address
621 N Lake Parker Ave Lakeland FL 33801-2040
Phone: (863) 519-0575
Fax: (863) 733-4496
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW11248 Florida
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1083904700
LBN Legal business name Nelson, Amy K
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2011
Last updated Dec 26th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083904700 NPPES
Florida MEDICAID 008428900
Florida MEDICAID 003556600

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