NIELS WILLIAM NIELSEN LISW NPI 1013040963

NPI Information

  • NPI: 1013040963
  • Provider Name: NIELS WILLIAM NIELSEN, LISW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 38879 MENTOR AVE
    SUITE C
    WILLOUGHBY, OH
    ZIP 44094
  • Phone: (440) 953-9999

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NPI Details

Niels William Nielsen, LISW is a social worker in Willoughby, OH. The provider is 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. 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 9/11/2025.

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
1101Y00000XCounselorI2504OHIONo
2104100000XSocial WorkerI2504OHIOYes
31041C0700XSocial WorkerClinicalI2504OHIONo

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: 11/21/2025

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