Individual provider · Type 1 NPI

Nyles Antony Jackson, MSW, APSW, SAC-IT

Social Worker · Kenosha, WI

NPI number 1053637629 Active

Practice location

4109 67th St
Kenosha, WI 53142-3836

Call (262) 652-9830 Map

Fax (262) 652-2931

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15877-130 (WI)
Social Worker Primary 104100000X128033-121 (WI)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1053637629

Nyles Antony Jackson, MSW, APSW, SAC-IT's National Provider Identifier is 1053637629, issued on Apr 7, 2010. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Kenosha, WI. The record was last updated on Apr 7, 2010.