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General NPI Number Information
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NPI Number | 1174767487
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Entity Type | Individual
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Provider Name | NAKIA NELSON MSW, LMSW
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Gender | Female
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Dates
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Enumeration Date | 04/30/2009
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 175 N GROESBECK HWY
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-1562
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Country | US
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Telephone | 586-627-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 ESTERS BLVD STE 900
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City | IRVING
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State | TX
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Zip | 75063-2233
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Country | US
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Telephone | 415-424-4266
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801084249
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW009227
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2025013333
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License Number State | MO
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