WHITNEY M NELSON LCSW
NPI 1881367738
Social Worker - Clinical in Madison, WI
About Whitney M Nelson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WHITNEY M NELSON LCSW (NPI 1881367738) is an individual clinical provider in Madison, Wisconsin, licensed in Wisconsin (11472-123) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baraboo.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Whitney M Nelson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Whitney Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 44 clinicians in this Medicare group
Brookfield, WI 53005
- Reassigned Medicare billing, Wisconsin enrollment
- 556 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53703
MADISON, WI 53703
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 Whitney Nelson's NPI number?
The NPI number for Whitney Nelson is 1881367738. It was assigned to this individual provider in the NPPES registry on July 27, 2021.
Where is Whitney Nelson located?
Whitney Nelson practices at 122 W Washington Ave Ste 630, Madison, WI 53703. The listed phone number is (262) 999-3495.
What is Whitney Nelson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Whitney Nelson enrolled in Medicare?
Yes. Whitney Nelson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Whitney Nelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Whitney Nelson reassigns Medicare benefits to 2 organizations: Community Service Associates, Sc (Portage, WI) and Cornerstone Counseling Services, Inc (Brookfield, WI). Each 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 Whitney Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Whitney Nelson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, HealthPartners and Medica and 2 other insurers list Whitney 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 Whitney Nelson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Whitney M Nelson, LCSW · NPI 1881367738
Clinical provider in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since July 27, 2021.
## Identity
- **NPI:** 1881367738 (Entity type: Individual)
- **Enumerated:** July 27, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11472-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 122 W WASHINGTON AVE STE 630, Madison, WI 53703-2758
- **Phone:** (262) 999-3495
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Community Service Associates, Sc (NPI 1780610923, Portage, WI); Cornerstone Counseling Services, Inc (NPI 1033127246, Brookfield, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 10, 2025
- **Other identifiers:** Medicaid 1881367738 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1881367738) · Data from the CMS NPPES public registry.