Mr Jonathan Richard Nelson Iii, LCSW, MCAP in Port Orange, FL

Mr Jonathan Richard Nelson Iii, LCSW, MCAP - Counselor in Port Orange, FL

Mr Jonathan Richard Nelson Iii, LCSW, MCAP is a Social Worker - Clinical based in Port Orange, Florida. Mr Jonathan Richard Nelson Iii is licensed to practice in Florida (license number SW12912) and his current practice location is 900 N Swallow Tail Dr Ste 105, Port Orange, Florida. He can be reached at his office (for appointments etc.) via phone at (386) 333-9717.

NPI number for Mr Jonathan Richard Nelson Iii is 1629550744 and his current mailing address is 900 N Swallow Tail Dr Ste 105, Port Orange, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629550744.

Contact Information

	Mr Jonathan Richard Nelson Iii, LCSW, MCAP
	900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103
	(386) 333-9717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jonathan Richard Nelson Iii
Gender	Male
Speciality	Social Worker - Clinical
Location	900 N Swallow Tail Dr Ste 105, Port Orange, Florida
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1629550744
Provider Enumeration Date: 09/05/2018
Last Update Date: 09/15/2018

Medical Identifiers

Medical identifiers for Mr Jonathan Richard Nelson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629550744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	SW12912 (Florida)	Secondary
1041C0700X	Social Worker - Clinical	SW12912 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jonathan Richard Nelson Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jonathan Richard Nelson Iii, LCSW, MCAP 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103 Ph: (386) 333-9717	Mr Jonathan Richard Nelson Iii, LCSW, MCAP 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103 Ph: (386) 333-9717