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MR. NELSON S WILLIS LCSW
NPI 1538419031
Social Worker - Clinical in Jacksonville, FL

Active since September 12, 2012
2392 EDGEWOOD AVE N, JACKSONVILLE, FL 32254(904) 781-0600(904) 781-0016 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Nelson S Willis Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. NELSON S WILLIS LCSW (NPI 1538419031) is an individual clinical provider in Jacksonville, Florida, licensed in Florida (SW9706) and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1538419031
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. NELSON S WILLISCredential: LCSW
Location Address2392 EDGEWOOD AVE NJacksonville, FL 32254-1725
Mailing Address3090 Aaron Cove CourtJacksonville, FL 32224 · (904) 781-0600 · Fax (904) 781-0016
Phone(904) 781-0600
Fax(904) 781-0016
Sole ProprietorYes
Enumeration DateSeptember 12, 2012
Last NPPES UpdateFebruary 10, 2014
✔ NPI 1538419031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · SW9706
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
2392 EDGEWOOD AVE N, Jacksonville, FL 32254
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTOPHER JOHN STOKES
Case Manager/Care Coordinator
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
REYLIUS THOMPSON JR.
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
SHADEAR BILLUPS
Case Manager/Care Coordinator
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
NORTHWEST BEHAVIORAL HEALTH SERVICES, INC.
Community/Behavioral Health
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
CYNTHIA A BURKETT
Day Training/Habilitation Specialist
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MR. ANDREW WALTER GOETZMAN
Counselor (Mental Health)
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
MARCIA TREMECE WILLIAMS
Case Management
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797
DR. PAUL YARISH PH.D.
Social Worker
2392 EDGEWOOD AVE N
JACKSONVILLE, FL 32254
Duval County (904) 781-7797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nelson Willis's NPI number?

The NPI number for Nelson Willis is 1538419031. It was assigned to this individual provider in the NPPES registry on September 12, 2012.

Where is Nelson Willis located?

Nelson Willis practices at 2392 Edgewood Ave N, Jacksonville, FL 32254. The listed phone number is (904) 781-0600.

What is Nelson Willis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Nelson Willis was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.