Misty Nelson, LICSW, LADC is a
Social Worker - Clinical based in Willmar, Minnesota. Misty Nelson is licensed to practice in Minnesota (license number 32165) and her current practice location is
1809 19th Ave Sw, Willmar, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(320) 441-7000.
NPI number for Misty Nelson is 1093436941 and her current mailing address is 1809 19th Ave Sw, Willmar, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093436941.
Healthcare Provider's Profile
| Full Name | Misty Nelson |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1809 19th Ave Sw, Willmar, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1093436941
- Provider Enumeration Date: 09/08/2022
- Last Update Date: 12/02/2025
Medical Identifiers
Medical identifiers for Misty Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093436941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 30426 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 32165 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Nelson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Misty Nelson, LICSW, LADC
1809 19th Ave Sw,
Willmar, MN 56201-4946
Ph: (320) 441-7000 | Misty Nelson, LICSW, LADC
1809 19th Ave Sw,
Willmar, MN 56201-4946
Ph: (320) 441-7000 |
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