Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jonathan Richard Nelson III, LCSW, MCAP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629550744

Mr. Jonathan Richard Nelson III, LCSW, MCAP is an Addiction (Substance Use Disorder) Counselor in Port Orange, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

900 N Swallow Tail Dr Ste 105
Port Orange, FL 32129-6103
Phone: (386) 333-9717
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW12912 (FL)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence SW12912 (FL)

Record details

NPI number1629550744
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , MCAP
Sole proprietorYes
NPI enumeratedSeptember 5, 2018
Last updated in NPPESSeptember 15, 2018

Other providers in Port Orange