TRISHA LYNN NELSON (LICSW) – Social Worker, NPI 1700540564

TRISHA LYNN NELSON (LICSW) is a healthcare provider. based in St louis park, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 27479 (MN). The NPI Number for TRISHA LYNN NELSON (LICSW) is 1700540564

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TRISHA LYNN NELSON (LICSW)
NPI
1700540564
Phone
Not provided
Address
7601 WAYZATA BLVD
Enumeration Date
27 October 2021
Last Update Date
21 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524968481
Graduation Year
2020 (6 years ago)
PAC ID
2466818166
Group Practice PAC ID
4587605225
Professional Enrollment ID
I20230705002177
Address ID
MN553791220SH200XXWXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for TRISHA LYNN NELSON (LICSW)

  • 7601 WAYZATA BLVD

    ST LOUIS PARK, MN 554261623

    Phone:

    Type: Mailing

  • 1811 WEIR DR STE 270

    WOODBURY, MN 551256741

    Phone: (651) 714-9646

    Fax: (651) 714-9647

    Type: Mailing

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: 2023-07-05

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
I20230705002177IClinical Social WorkerMNTBD

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 55426)

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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: 4587605225View full group profile
NameSpecialtyState
Marriage And Family TherapistMN
-MN
Marriage And Family TherapistMN
Nurse PractitionerMN
Clinical Social WorkerMN
Marriage And Family TherapistMN
-MN
Clinical PsychologistMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Can I use this page to confirm TRISHA LYNN NELSON (LICSW)'s NPI?
Yes. TRISHA LYNN NELSON (LICSW) is listed with NPI 1700540564 in the public NPI dataset.
Does the file indicate TRISHA LYNN NELSON (LICSW) is practicing under active NPI?
Directory data currently reports TRISHA LYNN NELSON (LICSW) as active.
What is TRISHA LYNN NELSON (LICSW)'s primary classification?
Social Worker is the headline specialty for TRISHA LYNN NELSON (LICSW) here. Clinical services aligned with this taxonomy classification.
What address line appears for TRISHA LYNN NELSON (LICSW)?
TRISHA LYNN NELSON (LICSW)'s geographic hint is St Louis Park, Minnesota in our summary view.
Is the information about TRISHA LYNN NELSON (LICSW) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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