Provider Demographics
NPI:1609380807
Name:NELSEN, JESSICA SUSAN (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:SUSAN
Last Name:NELSEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10557 W COOPER DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2975
Mailing Address - Country:US
Mailing Address - Phone:303-795-2715
Mailing Address - Fax:
Practice Address - Street 1:10557 W COOPER DR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2975
Practice Address - Country:US
Practice Address - Phone:303-795-2715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-27
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099273201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical