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GAIL SUSAN NELSON LISW
NPI 1427617307
Social Worker - Clinical in Celina, OH

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment
123 SUMMIT ST, CELINA, OH 45822(419) 584-5906(567) 890-0385 Get Directions Write a Review

NPPES record last updated: February 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2020, Jun 13, 2019 (2 updates tracked since 2019).

About Gail Susan Nelson Lisw NPPES

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

GAIL SUSAN NELSON LISW (NPI 1427617307) is an individual clinical provider in Celina, Ohio and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1427617307
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameGAIL SUSAN NELSONCredential: LISW
Location Address123 SUMMIT STCelina, OH 45822-1023
Mailing Address123 Summit StCelina, OH 45822-1023 · (419) 584-5906 · Fax (567) 890-0385
Phone(419) 584-5906
Fax(567) 890-0385
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 13, 2019
Last NPPES UpdateFebruary 20, 20202 updates tracked since enumeration
✔ NPI 1427617307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License I1901643 (OH)
123 SUMMIT ST, Celina, OH 45822
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gail Susan Nelson Lisw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032520531
PECOS Enrollment IDI20201203002512
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MEGAN MARIE GREVE
Social Worker
123 SUMMIT ST
CELINA, OH 45822
Mercer County (419) 584-5906
TOPP COUNSELING LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
123 SUMMIT ST
CELINA, OH 45822
Mercer County (419) 584-5906

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 Gail Nelson's NPI number?

The NPI number for Gail Nelson is 1427617307. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Where is Gail Nelson located?

Gail Nelson practices at 123 Summit St, Celina, OH 45822. The listed phone number is (419) 584-5906.

What is Gail Nelson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Gail Nelson enrolled in Medicare?

Yes. Gail Nelson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gail Nelson accept?

Health plans from CareSource, MedMutual, Oscar Health Insurance, Oscar Insurance Corporation of Ohio and UnitedHealthcare list Gail 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 Gail Nelson was last updated on February 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.