IndividualActive
Addy Nelson, LSW
NPI 1063937472 · Addiction (Substance Use Disorder) Counselor · Fargo, ND
Provider details
- NPI number
- 1063937472
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- License
- 1038-11-1-19A (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
Practice location
2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Approximate (ZIP-level) locationGet directions
Mailing address
2624 9th Ave S
Fargo, ND 58103-2350
Registry dates
- Enumerated
- 2017-08-07
- Last updated
- 2022-07-21
- Certified
- 2021-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.