Nelson, Mickie G

Nelson, Mickie G is an individual health care provider with primary practice located at 401 Bicentennial Way , Santa Rosa CA 95403-2149. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nelson, Mickie G can be contacted via phone (707) 571-3737.

Contact Information

Primary practice address
401 Bicentennial Way Santa Rosa CA 95403-2149
Phone: (707) 571-3737
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15777 California

Profile Details

NPI number 1972665305
LBN Legal business name Nelson, Mickie G
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers