IndividualActive
Kelly Nelson, MSW, ACSW
NPI 1417090762 · Counselor · Grand Ronde, OR
Kelly Nelson, MSW, ACSW is a Counselor provider in Grand Ronde, OR (NPI 1417090762).
Provider details
- NPI number
- 1417090762
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- MSW, ACSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- C1914 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712
Phone: (503) 879-2236
Fax: (503) 879-5089
Street-level locationGet directions
Mailing address
Po Box 338
Grand Ronde, OR 97347-0338
Registry dates
- Enumerated
- 2007-02-15
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kelly Nelson's NPI number?
- Kelly Nelson's National Provider Identifier (NPI) is 1417090762, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Nelson's specialty?
- Kelly Nelson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Kelly Nelson located?
- Kelly Nelson's practice location on file with NPPES is 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712.
- What is Kelly Nelson's phone number?
- The practice phone number listed in the NPPES registry for Kelly Nelson is (503) 879-2236.
- Is Kelly Nelson's NPI active?
- Yes — Kelly Nelson's NPI (1417090762) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.