MS. MARY JANE NIELSEN MSSA LISW NPI 1366598542

NPI Information

  • NPI: 1366598542
  • Provider Name: MS. MARY JANE NIELSEN, MSSA, LISW
  • Classification: Social Worker - 104100000X
  • Entity Type: Individual
  • Address: 3095 KETTERING BLVD
    DAYTON, OH
    ZIP 45439
  • Phone: (937) 293-8300

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NPI Details

MS. Mary Jane Nielsen, MSSA, LISW is a social worker in Dayton, 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. MS. Mary Jane Nielsen, MSSA, LISW NPI is 1366598542. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3095 KETTERING BLVD
DAYTON, OH
ZIP 45439-921
Phone: (937) 293-8300
Fax: (937) 534-1347

The enumeration date for this NPI number is 1/28/2007 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
1104100000XSocial WorkerI4458OHIOYes

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
1SW14064MEDICARE ID-TYPE UNSPECIFIEDOHIO
2SW14064MEDICARE UPIN

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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