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NPI Code Detail

MEDICARE: TALINA NELSON LMSW

MEDICARE: TALINA NELSON LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker2011034830MO

General Provider Information

NPI Number : 1568980969
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALINA NELSON LMSW
Provider Business Mailing Address
First Line : 3100 NE 83RD ST STE 1001
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-4460
Country : US
Telephone Number : 816-877-0460
Fax Number :
Provider Business Practice Location Address
First Line : 3100 NE 83RD ST STE 1001
Second Line :
City : KANSAS CITY
State : MO
Zip : 64119-4460
Country : US
Telephone Number : 816-877-0460
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2017
Last Update Date : 07/21/2022

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Directions to “ TALINA NELSON LMSW” Practice Location

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