Individual ProviderVicki L NelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W.National Ave, Milwaukee, WI 53295(414) 384-2000PECOS EnrollmentBased on the most recent information from CMS, provider Vicki L Nelson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1225121700Provider TypeIndividualFull NameNelson, Vicki LCredentialBSWGenderFemaleSole ProprietorNoEnumeration Date10/2/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5000 W.National Ave, Milwaukee, WI 53295Phone(414) 384-2000FaxUnlisted FaxMailing LocationMailing Address5000 W.National Ave, Milwaukee, WI 53295Phone(414) 384-2000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense3990-120Wisconsin