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AMY K NELSON LCSW
NPI 1083904700
Social Worker in Lakeland, FL

Active since April 14, 2011PECOS Enrolled
621 N LAKE PARKER AVE, LAKELAND, FL 33801(863) 519-0575(863) 733-4496 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2018, Dec 1, 2015 (2 updates tracked since 2015).

About Amy K Nelson Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY K NELSON LCSW (NPI 1083904700) is an individual social worker in Lakeland, Florida, licensed in Florida (SW11248) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083904700
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameAMY K NELSONCredential: LCSW
Location Address621 N LAKE PARKER AVELakeland, FL 33801-2040
Mailing AddressPo Box 1559Bartow, FL 33831-1559
Phone(863) 519-0575
Fax(863) 733-4496
Sole ProprietorNo
Enumeration DateApril 14, 2011
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
✔ NPI 1083904700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in FL · SW11248
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
621 N LAKE PARKER AVE, Lakeland, FL 33801
Open in Google Maps ↗

Other Names 1

Former Name (1)Amy Erickson Lcsw

Other Identifiers 2

Medicaid008428900FL
Medicaid003556600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy K Nelson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amy Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peace River Center For Personal Development Inc
12 mi
Mental Health (Including Community Mental Health Center)
1239 E MAIN ST
Bartow, FL 33830
  • Reassigned Medicare billing, Florida enrollment
  • 53 clinicians in this Medicare group
NPI 1821097767 (863) 519-0575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE DAVID
Community Health Worker
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
WILEEN DE JESUS CARO
Case Manager/Care Coordinator
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
REBECA OTT
Community Health Worker
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
ERIKA STRATTON
Community Health Worker
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
JOHN GOEKING
Community Health Worker
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
TAYLOR REYNA
Case Manager/Care Coordinator
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
DIANE MIRANDA
Community Health Worker
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575
TAMARA JOY TYNER LMHC
Counselor (Mental Health)
621 N LAKE PARKER AVE
LAKELAND, FL 33801
Polk County (863) 519-0575

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Nelson's NPI number?

The NPI number for Amy Nelson is 1083904700. It was assigned to this individual provider in the NPPES registry on April 14, 2011. The provider is also known as Amy Erickson Lcsw.

Where is Amy Nelson located?

Amy Nelson practices at 621 N Lake Parker Ave, Lakeland, FL 33801. The listed phone number is (863) 519-0575.

What is Amy Nelson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Amy Nelson enrolled in Medicare?

Yes. Amy Nelson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Nelson reassigns Medicare benefits to Peace River Center For Personal Development Inc (Bartow, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Nelson accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare and Oscar Health Maintenance Organization of Florida list Amy Nelson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amy Nelson was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.