PHYLLIS NELSON LCSW
NPI 1710528138
Social Worker - Clinical in Channahon, IL

Active since October 07, 2019
23057 W ANDREW AVE, CHANNAHON, IL 60410(815) 922-3168 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phyllis Nelson Lcsw NPPES

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

PHYLLIS NELSON LCSW (NPI 1710528138) is an individual clinical provider in Channahon, Illinois, licensed in Illinois (149013665) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1710528138
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePHYLLIS NELSONCredential: LCSW
Location Address23057 W ANDREW AVEChannahon, IL 60410-3033
Mailing Address23057 W Andrew AveChannahon, IL 60410-3033
Sole ProprietorNo
Enumeration DateOctober 7, 2019
NPI 1710528138 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 IL · 149013665
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.
23057 W ANDREW AVE, Channahon, IL 60410

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 Phyllis Nelson's NPI number?

The NPI number for Phyllis Nelson is 1710528138. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Phyllis Nelson located?

Phyllis Nelson practices at 23057 W Andrew Ave, Channahon, IL 60410. The listed phone number is (815) 922-3168.

What is Phyllis 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 Phyllis Nelson was last updated on October 7, 2019. 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.