KEVIN NELSON (LMSW) – Clinical Social Worker, NPI 1972923514

KEVIN NELSON (LMSW) is a healthcare provider. based in Brimley, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801069261 (MI). The NPI Number for KEVIN NELSON (LMSW) is 1972923514

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN NELSON (LMSW)
NPI
1972923514
Phone
(810) 730-2448
Address
PO BOX 443
Enumeration Date
22 April 2014
Last Update Date
22 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062485527
Graduation Year
1990 (36 years ago)
PAC ID
4284857350
Group Practice PAC ID
8729079918
Professional Enrollment ID
I20140516001436
Address ID
MI497159327BR12455DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,820 CLINICAL SOCIAL WORKER in MI

Provider Addresses for KEVIN NELSON (LMSW)

  • PO BOX 443

    BRIMLEY, MI 497150443

    Phone: (810) 730-2448

    Type: Mailing

  • 3865 S MACKINAC TRL

    SAULT SAINTE MARIE, MI 497839286

    Phone: (906) 635-3788

    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: 2014-05-16

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
I20140516001436IClinical Social WorkerMITBD

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 49715)

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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: 8729079918View full group profile
NameSpecialtyState
Nurse PractitionerMI
-MI
Clinical Social WorkerMI
O P T O M E T R YMI
-MI
-MI
Nurse PractitionerMI
Family PracticeMI
P S Y C H I A T R YMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What NPI should I save for KEVIN NELSON (LMSW)?
Save NPI 1972923514 if you need a stable reference for KEVIN NELSON (LMSW).
Does this profile mean KEVIN NELSON (LMSW) is currently active?
Yes — KEVIN NELSON (LMSW) appears active in the national provider directory.
What kind of provider is KEVIN NELSON (LMSW)?
The page reflects Clinical Social Worker for KEVIN NELSON (LMSW). Clinical services aligned with this taxonomy classification.
Where does public data place KEVIN NELSON (LMSW)?
The snapshot lists Brimley, Michigan for KEVIN NELSON (LMSW); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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