GAIL SUSAN NELSON (LISW) – Clinical Social Worker, NPI 1427617307

GAIL SUSAN NELSON (LISW) is a healthcare provider. based in Celina, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW. They hold a License No. I1901643 (OH). The NPI Number for GAIL SUSAN NELSON (LISW) is 1427617307

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
GAIL SUSAN NELSON (LISW)
NPI
1427617307
Phone
(419) 584-5906
Address
123 SUMMIT ST
Enumeration Date
13 June 2019
Last Update Date
20 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4195845906
Graduation Year
2010 (16 years ago)
PAC ID
9032520531
Group Practice PAC ID
0648681064
Professional Enrollment ID
I20201203002512
Address ID
OH458221023CE123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

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Provider Addresses for GAIL SUSAN NELSON (LISW)

  • 123, Summit Street, Celina, Mercer County, Ohio, 45822, United States

    CELINA, OH 458221023

    Phone: (419) 584-5906

    Fax: (567) 890-0385

    Mailing address matches the actual address.

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: 2020-12-03

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
I20201203002512IClinical Social WorkerOHTBD

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 45822)

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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: 0648681064View full group profile
NameSpecialtyState
Mental Health CounselorOH

Reviews

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Frequently asked questions

What is the 10-digit NPI for GAIL SUSAN NELSON (LISW)?
GAIL SUSAN NELSON (LISW) — NPI 1427617307 — is the standard way to identify this listing.
Does the file indicate GAIL SUSAN NELSON (LISW) is practicing under active NPI?
Directory data currently reports GAIL SUSAN NELSON (LISW) as active.
What taxonomy line describes GAIL SUSAN NELSON (LISW)?
For research purposes, treat GAIL SUSAN NELSON (LISW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is GAIL SUSAN NELSON (LISW) based?
GAIL SUSAN NELSON (LISW) is tied to Celina, Ohio 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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