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

Individual provider Clinical Social Worker · NPI 1538419031

Mr. Nelson S Willis, LCSW is a Clinical Social Worker in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-0600
Fax: (904) 781-0016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW9706 (FL)

Record details

NPI number1538419031
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 12, 2012
Last updated in NPPESFebruary 10, 2014

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