Niels William Nielsen, LISW is a
Social Worker - Clinical based in Willoughby, Ohio. Niels William Nielsen is licensed to practice in Ohio (license number I2504) and his current practice location is
38879 Mentor Ave, Suite C, Willoughby, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 953-9999.
NPI number for Niels William Nielsen is 1013040963 and his current mailing address is 38879 Mentor Ave, Suite C, Willoughby, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013040963.
Healthcare Provider's Profile
| Full Name | Niels William Nielsen |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 38879 Mentor Ave, Willoughby, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013040963
- Provider Enumeration Date: 03/13/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Niels William Nielsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013040963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | I2504 (Ohio) | Primary |
| 104100000X | Social Worker | I2504 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | I2504 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niels William Nielsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Niels William Nielsen, LISW
38879 Mentor Ave, Suite C,
Willoughby, OH 44094-7992
Ph: (440) 953-9999 | Niels William Nielsen, LISW
38879 Mentor Ave, Suite C,
Willoughby, OH 44094-7992
Ph: (440) 953-9999 |
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