| Doctor Name: | K. ROBIN NEWCOMBE NELSON |
| NPI Number: | 1003086505 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC, LICSW |
| License Number: | 18227 |
| Business Practice Address: | 1025 Marsh St Mankato, MN - 560014752 |
| Business Phone Number: | 5076253372 |
| Business Fax Number: | |
| Mailing Address: | 400 Timberland Dr, BURNSVILLE |
| State: | MN |
| Postal Code: | 553372754 |
| Phone Number: | 9528829320 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 05/17/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 18227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |