NPI
Michael Kenneth Nelson
NPI 1487673984
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- LCSW
- Type
- Individual
- Enumeration date
- 2006-07-18
- Last updated
- 2007-07-08
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Specialties
Licenses
- License IL
- 149-003479
Location
- Practice location
- 2875 E 777th Rd
- City
- Utica IL
- Postal code
- 61373-9758
- Phone
- (815) 667-4192
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Utica, IL. 25 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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