NPI 1003156761

Blythe Ellen Nelson, LICSW

Practitioner Clinical Social Worker Coon Rapids, MN

Practice location

Address: 9055 Springbrook Dr NW, Coon Rapids, MN 55433-5841
Phone: (763) 780-9155
Mailing address: 2925 Chicago Ave, Minneapolis, MN 55407-1321

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 20794 (MN)

Other Social Worker providers in Minnesota →

Registry record

NPI: 1003156761
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2013
Record last updated: 30 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.