Provider Demographics
NPI:1750974655
Name:NELSON, DONNA (CSW)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:NELSON
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5117 S CROSSING PL STE 3
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5270
Mailing Address - Country:US
Mailing Address - Phone:605-306-3240
Mailing Address - Fax:
Practice Address - Street 1:5117 S CROSSING PL STE 3
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5270
Practice Address - Country:US
Practice Address - Phone:605-306-3240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker