Provider Demographics
NPI:1548400252
Name:NELSON, ANN F (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:F
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1222
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:AK
Mailing Address - Zip Code:99645-1222
Mailing Address - Country:US
Mailing Address - Phone:907-746-4177
Mailing Address - Fax:877-361-4010
Practice Address - Street 1:349 E. COTTONWOOD AVE.
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:AK
Practice Address - Zip Code:99645
Practice Address - Country:US
Practice Address - Phone:907-746-4177
Practice Address - Fax:877-361-4010
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK9061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical