NIELS WILLIAM NIELSEN LISW NPI 1013040963

NPI Information

NPI: 1013040963
Provider Name: NIELS WILLIAM NIELSEN, LISW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
38879 MENTOR AVE
SUITE C
WILLOUGHBY, OH
ZIP 44094
Phone: (440) 953-9999
Get Directions

Niels William Nielsen, LISW is a counselor in Willoughby, OH. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Niels William Nielsen, LISW NPI is 1013040963. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

38879 MENTOR AVE
SUITE C
WILLOUGHBY, OH
ZIP 44094-992
Phone: (440) 953-9999
Fax: (440) 918-3839

The enumeration date for this NPI number is 3/13/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		I2504	OHIO	Yes
2	104100000X	Social Worker		I2504	OHIO	X
3	1041C0700X	Social Worker	Clinical	I2504	OHIO	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SW23512	MEDICARE ID-TYPE UNSPECIFIED	OHIO	MEDICARE SW ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »