JERALD JEROME NELSON LICSW
NPI 1629293758
Social Worker - Clinical in Moorhead, MN

Active since April 16, 2007
2925 20TH ST S, MOORHEAD, MN 56560(701) 318-4292 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerald Jerome Nelson Licsw NPPES

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

JERALD JEROME NELSON LICSW (NPI 1629293758) is an individual clinical provider in Moorhead, Minnesota, licensed in Minnesota (07373) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1629293758
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJERALD JEROME NELSONCredential: LICSW
Location Address2925 20TH ST SMoorhead, MN 56560-5269
Mailing Address13299 Wildflower LnLake Park, MN 56554-9132 · (701) 318-4292
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1629293758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 07373
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.
2925 20TH ST S, Moorhead, MN 56560

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.

Social Worker (Clinical)
2925 20TH ST S
MOORHEAD, MN 56560
Social Worker (Clinical)
2925 20TH ST S
MOORHEAD, MN 56560

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 Jerald Nelson's NPI number?

The NPI number for Jerald Nelson is 1629293758. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jerald Nelson located?

Jerald Nelson practices at 2925 20th St S, Moorhead, MN 56560. The listed phone number is (701) 318-4292.

What is Jerald Nelson's specialty?

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

When was this NPI record last updated?

The NPPES record for Jerald Nelson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.