MR. JONATHAN RICHARD NELSON III LCSW, MCAP
NPI 1629550744
Social Worker - Clinical in Port Orange, FL

Active since September 05, 2018
900 N SWALLOW TAIL DR STE 105, PORT ORANGE, FL 32129(386) 333-9717 Get Directions Write a Review

NPPES record last updated: September 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2018, Sep 5, 2018 (2 updates tracked since 2018).

About Mr. Jonathan Richard Nelson Iii Lcsw, Mcap NPPES

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

MR. JONATHAN RICHARD NELSON III LCSW, MCAP (NPI 1629550744) is an individual clinical provider in Port Orange, Florida, licensed in Florida (SW12912) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1629550744
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JONATHAN RICHARD NELSON IIICredential: LCSW, MCAP
Location Address900 N SWALLOW TAIL DR STE 105Port Orange, FL 32129-6103
Mailing Address900 N Swallow Tail Dr Ste 105Port Orange, FL 32129-6103 · (386) 333-9717
Sole ProprietorYes
Enumeration DateSeptember 5, 2018
Last NPPES UpdateSeptember 15, 20182 updates tracked since enumeration
NPI 1629550744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW12912
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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License SW12912 (FL)
900 N SWALLOW TAIL DR STE 105, Port Orange, FL 32129

Other Providers at the Same Location NPPES 9

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

Marriage & Family Therapist
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Social Worker (Clinical)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Social Worker (Clinical)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Counselor (Mental Health)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Social Worker (Clinical)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Marriage & Family Therapist
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Counselor (Mental Health)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129
Social Worker (Clinical)
900 N SWALLOW TAIL DR STE 105
PORT ORANGE, FL 32129

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 Jonathan Nelson's NPI number?

The NPI number for Jonathan Nelson is 1629550744. It was assigned to this individual provider in the NPPES registry on September 5, 2018.

Where is Jonathan Nelson located?

Jonathan Nelson practices at 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129. The listed phone number is (386) 333-9717.

What is Jonathan Nelson'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 Jonathan Nelson was last updated on September 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.