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COURTNEY NELSON ASW
NPI 1821642265
Social Worker in Sacramento, CA

Active since July 24, 2019PECOS Enrolled
9200 SWEET ACACIA WAY, SACRAMENTO, CA 95829(916) 688-0411(916) 688-3645 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2019, Jul 24, 2019 (2 updates tracked since 2019).

About Courtney Nelson Asw NPPES

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

COURTNEY NELSON ASW (NPI 1821642265) is an individual social worker in Sacramento, California, licensed in California (108401) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1821642265
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameCOURTNEY NELSONCredential: ASW
Location Address9200 SWEET ACACIA WAYSacramento, CA 95829
Mailing Address24077 State Highway 49Nevada City, CA 95959-8519 · (530) 265-9057 · Fax (530) 292-3803
Phone(916) 688-0411
Fax(916) 688-3645
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 24, 2019
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1821642265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CA · 108401
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.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 90364 (CA)
9200 SWEET ACACIA WAY, Sacramento, CA 95829
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Secondary Practice Location 1

Location 17818 Bardu LnSacramento, CA 95829 · Phone (916) 689-5211 · Fax (916) 689-6940

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID3173089000
PECOS Enrollment IDI20260730001941
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 Courtney Nelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
32 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

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

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.

MOUNTAIN VALLEY CHILD AND FAMILY SERVICES, INC.
Residential Treatment Facility, Emotionally Disturbed Children
9200 SWEET ACACIA WAY
SACRAMENTO, CA 95829
Sacramento County (916) 362-8292
SHANTTELLE MENDEZ
Counselor (Mental Health)
9200 SWEET ACACIA WAY
SACRAMENTO, CA 95829
Sacramento County (916) 362-8292

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 Courtney Nelson's NPI number?

The NPI number for Courtney Nelson is 1821642265. It was assigned to this individual provider in the NPPES registry on July 24, 2019.

Where is Courtney Nelson located?

Courtney Nelson practices at 9200 Sweet Acacia Way, Sacramento, CA 95829. The listed phone number is (916) 688-0411.

What is Courtney Nelson's specialty?

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

Is Courtney Nelson enrolled in Medicare?

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

Which organization bills Medicare for Courtney Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Nelson reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Courtney Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Nelson was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.