Provider Demographics
NPI:1568788727
Name:NELSON, CARMEL C (LCSW)
Entity type:Individual
Prefix:MS
First Name:CARMEL
Middle Name:C
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CARMA
Other - Middle Name:C
Other - Last Name:NELSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:5604 MISSION RD
Mailing Address - Street 2:
Mailing Address - City:CONESUS
Mailing Address - State:NY
Mailing Address - Zip Code:14435-9523
Mailing Address - Country:US
Mailing Address - Phone:907-330-9670
Mailing Address - Fax:
Practice Address - Street 1:5604 MISSION RD
Practice Address - Street 2:
Practice Address - City:CONESUS
Practice Address - State:NY
Practice Address - Zip Code:14435-9523
Practice Address - Country:US
Practice Address - Phone:907-330-9670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9043991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical