Healthcare Provider Details

I. General information

NPI: 1922720663
Provider Name (Legal Business Name): VICTORIA JEAN NELSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16232 TRAVIS SQ
WEST WINDSOR NJ
08550-5340
US

IV. Provider business mailing address

16232 TRAVIS SQ
WEST WINDSOR NJ
08550-5340
US

V. Phone/Fax

Practice location:
  • Phone: 732-439-8531
  • Fax:
Mailing address:
  • Phone: 732-439-8531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06796200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: