Susan Nelsen, LISW
Social Worker, Clinical in Santa Fe, NM. Individual provider (NPI-1).
NPI number1720394232
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1720394232
- Entity type
- Individual (NPI-1)
- Name
- Susan Nelsen
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2010
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I-05093 | NM | Yes |
Practice location
118 Huddleson StSanta Fe, NM 87501
Phone 505-660-5026
Mailing address
605 Letrado StSanta Fe, NM 87505-4146
Phone 505-476-2673 · Fax 505-476-2694
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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