Individual
ELISE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
589 NW 11TH ST, HERMISTON, OR 97838-6600
(541) 567-1717
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
L17798
OR
1041C0700X
Clinical Social Worker
SWI.LW.61549748
WA
Other
Enumeration date
08/10/2022
Last updated
03/11/2026
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