STEPHANIE NELSON
NPI 1619329760
Social Worker - Clinical in Charlotte, NC

Q: What is Stephanie Nelson's NPI number?

The NPI number for Stephanie Nelson is 1619329760. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Stephanie Nelson's specialty?

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

Q: Is Stephanie Nelson enrolled in Medicare?

No. Stephanie Nelson has opted out of Medicare through March 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Nelson was last updated on July 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since July 12, 2016Opted out of Medicare · through Mar 15, 2028

6220 THERMAL RD, CHARLOTTE, NC 28211(704) 366-8712 Get Directions Write a Review

NPPES record last updated: July 12, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Stephanie Nelson NPPES

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

STEPHANIE NELSON (NPI 1619329760) is an individual clinical provider in Charlotte, North Carolina and active in the NPI registry since July 2016. She has opted out of Medicare through March 15, 2028.

NPPES Registry Identity

NPI1619329760

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameSTEPHANIE NELSON

Location Address6220 THERMAL RDCharlotte, NC 28211-5630

Mailing Address6220 Thermal RdCharlotte, NC 28211-5630

Phone(704) 366-8712

Sole ProprietorNo

Enumeration DateJuly 12, 2016

✔ NPI 1619329760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

6220 THERMAL RD, Charlotte, NC 28211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Stephanie Nelson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 15, 2024 through March 15, 2028.

Opt-Out Effective DateMarch 15, 2024

Opt-Out In Effect ThroughMarch 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

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