Individual provider · Type 1 NPI

Jerald Jerome Nelson, LICSW

Clinical Social Worker · Moorhead, MN

NPI number 1629293758 Active

Practice location

2925 20th St S
Moorhead, MN 56560-5269

Mailing address

13299 Wildflower Ln
Lake Park, MN 56554-9132

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X07373 (MN)

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 1629293758

Jerald Jerome Nelson, LICSW's National Provider Identifier is 1629293758, issued on Apr 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moorhead, MN. The record was last updated on Jul 8, 2007.