Individual provider · Type 1 NPI

Myesha Raven Danielle Nelson, DBH, LCSW

Clinical Social Worker · Fort Carson, CO

NPI number 1073299582 Active

Practice location

1650 Cochrane Cir Bldg 7500
Fort Carson, CO 80913-4604

Call (719) 526-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-21417 (AZ)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1073299582

Myesha Raven Danielle Nelson, DBH, LCSW's National Provider Identifier is 1073299582, issued on Jun 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Carson, CO. The record was last updated on Oct 28, 2026.