Nyles Antony Jackson, MSW, APSW, SAC-IT
Social Worker · Kenosha, WI
Nyles Antony Jackson, MSW, APSW, SAC-IT is a social worker with a practice address in Kenosha, Wisconsin, and NPI 1053637629, issued on Apr 7, 2010. Check the license (Wisconsin 128033-121, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Nyles Antony Jackson
- Credential
- MSW, APSW, SAC-IT
- Primary taxonomy
- Social Worker 104100000X
- License numbers
- 128033-121 WI
15877-130 WI
Self-reported in NPPES; status is on the state search - Practice location
- 4109 67TH St, Kenosha, WI 53142
- Phone
- (262) 652-9830
- Enumerated
- Apr 7, 2010
- Record last updated
- Apr 7, 2010 (not updated in 16 years: call before relying on the address or phone)
- Fax
- (262) 652-2931
- Medicare enrollment
- Enrolled (PECOS I20150909001658); may accept Medicare assignment
- Entity
- Type 1 · individual
Also registered at 4109 67TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Amy Anderson, MSWClinical Social Worker1295766186
- Antigona Bajraktari, APSWSocial Worker1356958995
- Nicole Gustafson, L.P.C.Professional Counselor1790916278
- Mary Hein, LPC-ITProfessional Counselor1972750537
- Dale HilsonMental Health Counselor1235381054
- Kristina JerryProfessional Counselor1982225322
Verify Nyles Antony Jackson in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 128033-121Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Oakwood Clinical Associates, LtdKenosha, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
28 social worker records list a practice address in Kenosha
They are 28 of the 1,852 NPPES records with a practice address in Kenosha, and 1,915 social worker records in Wisconsin.
All 28 in Kenosha → All 1,915 in Wisconsin → Every provider in Kenosha →
Other social worker records in Wisconsin
- Taylor Aagaard, LCSWJanesville, WI1487300471
- Audrey Aardappel, LCSWSheboygan, WI1518024058
- Austann Abbott, CSWTomah, WI1548989411
- Dreams AbbottRacine, WI1023934627
- Joseph Abraham, LCSW ACSW CADCWest Allis, WI1265544019
- Ashley AcevedoFond Du Lac, WI1255115333
- Thomas Ackerman, MSWEau Claire, WI1649342338
- Alan Acuna, MSW, APSWOshkosh, WI1679462857
- Emily Adams, CAPSWMadison, WI1760271993
- Stacey AdamsMount Pleasant, WI1760039085
Common questions
What is Nyles Antony Jackson, MSW, APSW, SAC-IT's NPI number?
Nyles Antony Jackson, MSW, APSW, SAC-IT's National Provider Identifier (NPI) is 1053637629, issued on Apr 7, 2010. An NPI identifies a provider in billing; it is not a license.
Where is Nyles Antony Jackson, MSW, APSW, SAC-IT located?
The NPPES record lists a practice address at 4109 67TH St, Kenosha, WI, 53142. Phone: (262) 652-9830. Providers update this record themselves, so call before visiting.
How can I verify Nyles Antony Jackson, MSW, APSW, SAC-IT's license?
NPPES lists Wisconsin license number 128033-121, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.