Individual provider · Type 1 NPI

Jonathan Richard Nelson Iii, LCSW, MCAP

Clinical Social Worker · Port Orange, FL

NPI number 1629550744 Active

Practice location

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103

Call (386) 333-9717 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XSW12912 (FL)
Clinical Social Worker Primary 1041C0700XSW12912 (FL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1629550744

Jonathan Richard Nelson Iii, LCSW, MCAP's National Provider Identifier is 1629550744, issued on Sep 5, 2018. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Port Orange, FL. The record was last updated on Sep 15, 2018.