Individual
JODY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSW
Contact information
Practice address
411 W LAKE LANSING RD STE A100, EAST LANSING, MI 48823-8404
(517) 526-0036
Mailing address
1092 SAINT JOHNS CHASE, GRAND LEDGE, MI 48837-9781
(517) 526-0036
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801074609
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609721125
NPI GROUP
MI
Enumeration date
05/04/2006
Last updated
05/06/2026
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