Organization
MICHELE V. NELSON L.C.S.W. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE VIDRINE NELSON (OWNER)
(504) 832-4940
Entity
Organization
Contact information
Practice address
380 COLLEGE HILL DR, BATON ROUGE, LA 70808-4943
(504) 832-4940
(504) 841-2232
Mailing address
5261 HIGHLAND RD # 199, BATON ROUGE, LA 70808-6547
(504) 832-4940
(504) 841-2232
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3A011
MEDICARE PTAN
LA
Enumeration date
12/11/2013
Last updated
04/07/2025
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