SARA ANN NELSON (LICSW) – Clinical Social Worker, NPI 1083079693

SARA ANN NELSON (LICSW) is a healthcare provider. based in Saint paul, Minnesota. specializing in Clinical Social Worker. They hold the professional credentials LICSW. They hold a License No. 20525 (MN). The NPI Number for SARA ANN NELSON (LICSW) is 1083079693

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
SARA ANN NELSON (LICSW)
NPI
1083079693
Phone
(612) 802-9564
Address
1674 JAMES AVE
Enumeration Date
24 December 2015
Last Update Date
25 January 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6512802310
Graduation Year
2010 (16 years ago)
PAC ID
3779841085
Group Practice PAC ID
0941288922
Professional Enrollment ID
I20171214001395
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for SARA ANN NELSON (LICSW)

  • 1674 JAMES AVE

    SAINT PAUL, MN 551052111

    Phone: (612) 802-9564

    Type: Mailing

  • 451 LEXINGTON PKWY N

    SAINT PAUL, MN 551044636

    Phone: (651) 280-2310

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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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 55105)

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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: 0941288922View full group profile
NameSpecialtyState
Mental Health CounselorMN
-MN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN
Marriage And Family TherapistMN
Mental Health CounselorMN
Mental Health CounselorMN

Reviews

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Frequently asked questions

How is SARA ANN NELSON (LICSW) identified in CMS data?
CMS-hosted NPPES data lists SARA ANN NELSON (LICSW) with NPI 1083079693.
Is SARA ANN NELSON (LICSW) listed as active for patients and plans?
The listing shows SARA ANN NELSON (LICSW) as active in the NPI system.
What is SARA ANN NELSON (LICSW) best known for clinically?
Directory data describes SARA ANN NELSON (LICSW) with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect SARA ANN NELSON (LICSW) on a map?
Expect Saint Paul, Minnesota as a primary anchor for SARA ANN NELSON (LICSW) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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