Individual
ANDREA MARIE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1605 N ANKENY BLVD STE 110, ANKENY, IA 50023-4163
(515) 619-6855
(515) 373-3270
Mailing address
740 53RD ST, DES MOINES, IA 50312-1821
(206) 778-3969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
107268
IA
1041C0700X
Clinical Social Worker
Primary
107268
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107268
IOWA DEPT. OF PUBLIC HEALTH / BOARD OF SOCIAL WORK
IA
Enumeration date
11/17/2022
Last updated
03/24/2025
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