Individual provider · Type 1 NPI

Melissa Nelson

Clinical Social Worker · Milwaukee, WI

NPI number 1104688589 Active

Practice location

2414 N Farwell Ave Ste 1
Milwaukee, WI 53211-4414

Call (414) 413-4800 Map

Fax (414) 310-3950

Mailing address

2414 N Farwell Ave Unit 1
Milwaukee, WI 53211-4446

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X17048132 (WI)
Clinical Social Worker Primary 1041C0700X11142123 (WI)

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 1104688589

Melissa Nelson's National Provider Identifier is 1104688589, issued on Jan 30, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 7, 2026.