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Deactivated NPI 1265614887 Deactivated / Inactive NPI Male Practitioner

Eugene Paul Nelson , LCSW

Social Worker - Clinical • Jacksonville, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Eugene Nelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 05, 2007
NPI Deactivation Date June 19, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Eugene Nelson, LCSW was a registered Social Worker - Clinical practicing in Jacksonville, FL. Throughout an active medical career spanning 18 years, Eugene Nelson provided care at the practice location at 6817 SOUTHPOINT PKWY until profile deactivation on 2025-06-19.

Practice Location & Contact Primary Location

Practice Address

6817 Southpoint Pkwy
Suite 2303

Jacksonville, FL 322166282

Telephone 9043327431
Fax 9043327408
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
683 Specialists

Practicing in Jacksonville, FL (13861 Statewide)

Telehealth Adoption Rate
12.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License FL SW 2250

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1326007139

Doctor of Medicine (M.D.)

Janet Duda , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1487690319

Advanced Registered Nurse Practitioner

Rachel Hollenbach , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578092201

Advanced Registered Nurse Practitioner

NPI 1720048655

Advanced Registered Nurse Practitioner

Jenea Tener , MSN, ARNP-BC

Nurse Practitioner - Family

NPI 1730410929

Master of Science in Nursing, ARNPBC

Dr. Jose Gomez , MD

Psychiatry & Neurology - Psychiatry

NPI 1811929532

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 19, 2025

Record deactivated on June 19, 2025

NPI Profile Active December 05, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 05, 2007

Registered at 6817 SOUTHPOINT PKWY, SUITE 2303, JACKSONVILLE, FL 322166282 (Tel: 9043327431)

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Updated Business Mailing Address December 05, 2007

Registered at 6817 SOUTHPOINT PKWY, SUITE 2303, JACKSONVILLE, FL 322166282 (Tel: 9043327431)

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Provider Name / Credentials Updated December 05, 2007

Recorded as EUGENE NELSON, LCSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2007

Social Worker (License #SW 2250 in FL)

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Initial NPI Registration & Enumeration December 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265614887
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2007
Last Update: December 05, 2007
Deactivation Date: June 19, 2025

Mailing Address

6817 Southpoint Pkwy, Suite 2303

Jacksonville, FL 322166282

Phone: 9043327431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.