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GINA NELSON LCSW
NPI 1568096717
Social Worker in Central Valley, NY

Active since February 26, 2020PECOS Enrolled
16 DOGWOOD DR, CENTRAL VALLEY, NY 10917(845) 213-6488 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gina Nelson Lcsw NPPES

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

GINA NELSON LCSW (NPI 1568096717) is an individual social worker in Central Valley, New York, licensed in New York (098688) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1568096717
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameGINA NELSONCredential: LCSW
Location Address16 DOGWOOD DRCentral Valley, NY 10917-3220
Mailing Address16 Dogwood DrCentral Valley, NY 10917-3220 · (845) 213-6488
Phone(845) 213-6488
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 26, 2020
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
✔ NPI 1568096717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 098688
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.
16 DOGWOOD DR, Central Valley, NY 10917
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6103355771
PECOS Enrollment IDI20250128000476
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 Gina Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
450 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, New York enrollment
  • 144 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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

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 Gina Nelson's NPI number?

The NPI number for Gina Nelson is 1568096717. It was assigned to this individual provider in the NPPES registry on February 26, 2020.

Where is Gina Nelson located?

Gina Nelson practices at 16 Dogwood Dr, Central Valley, NY 10917. The listed phone number is (845) 213-6488.

What is Gina Nelson's specialty?

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

Is Gina Nelson enrolled in Medicare?

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

Which organization bills Medicare for Gina Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gina Nelson reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). 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 Gina Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gina Nelson accept?

Health plans from Oscar Health list Gina 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 Gina Nelson was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.