MRS. STACY ANN NELSEN (LCSW) – Clinical Social Worker, NPI 1720002157
Clinical Social Worker
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MRS. STACY ANN NELSEN (LCSW)
1102 S. AUSTIN AVE #110-295
GEORGETOWN, TX 78626
Phone: (512) 818-6747
Fax: (512) 986-7161
Type: Mailing
14125 W State Highway 29 Ste B203-306
Liberty Hill, TX 786422207
Phone: (512) 818-6747
Type: Location
14125 W STATE HIGHWAY 29 STE B203-306
LIBERTY HILL, TX 786422207
Phone: (512) 966-1996
Type: Mailing
590 MEDICAL CENTER ROAD
FORT HOOD, TX 76544
Phone: (254) 288-6474
Type: Location
1101, Arrow Point Drive, Cedar Park, Williamson County, Texas, 78613, United States
STE 207
CEDAR PARK, TX 786137737
Phone: (512) 818-6747
Fax: (512) 986-7161
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: 2024-12-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241220002781 | I | Clinical Social Worker | TX | TBD |
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.
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 78626)
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