MRS. TRISHA NICOLE NELSON (LCSW) – Social Worker, NPI 1134472608

MRS. TRISHA NICOLE NELSON (LCSW) is a healthcare provider. based in Champaign, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 149.016073 (IL). The NPI Number for MRS. TRISHA NICOLE NELSON (LCSW) is 1134472608

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TRISHA NICOLE NELSON (LCSW)
NPI
1134472608
Phone
(217) 352-0200
Address
2125 S Neil St
Enumeration Date
22 October 2012
Last Update Date
11 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2173520200
Graduation Year
2009 (17 years ago)
PAC ID
6901189646
Group Practice PAC ID
9638335532
Professional Enrollment ID
I20170203001147
Address ID
IL618207266CH2125XSTXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:13State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for MRS. TRISHA NICOLE NELSON (LCSW)

  • 2125 S Neil St

    Champaign, IL 618207266

    Phone: (217) 352-0200

    Fax: (217) 607-1139

    Type: Location

  • 210 AVENUE C

    DANVILLE, IL 618325410

    Phone: (217) 442-3200

    Fax: (217) 442-7460

    Type: Mailing

  • 2125 S NEIL ST

    CHAMPAIGN, IL 618207266

    Phone: (217) 352-0200

    Fax: (217) 607-1139

    Type: Mailing

  • 116 S LOMBARD ST

    MAHOMET, IL 618539202

    Phone: (217) 352-0200

    Fax: (217) 607-1139

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-02-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170203001147IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638335532View full group profile
NameSpecialtyState
Clinical Social WorkerIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

Can I use this page to confirm MRS. TRISHA NICOLE NELSON (LCSW)'s NPI?
Yes. MRS. TRISHA NICOLE NELSON (LCSW) is listed with NPI 1134472608 in the public NPI dataset.
Is MRS. TRISHA NICOLE NELSON (LCSW) still practicing?
MRS. TRISHA NICOLE NELSON (LCSW) is currently listed as active in the public NPI registry.
What healthcare role does MRS. TRISHA NICOLE NELSON (LCSW) hold?
Scheduling teams often label MRS. TRISHA NICOLE NELSON (LCSW) under Social Worker. Clinical services aligned with this taxonomy classification.
Where is MRS. TRISHA NICOLE NELSON (LCSW) based?
MRS. TRISHA NICOLE NELSON (LCSW) is tied to Champaign, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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