Nyles Antony Jackson, MSW, APSW, SAC-IT
NPI 1053637629ActiveIndividual· Social Worker· Kenosha, WI
Social Worker (MSW, APSW, SAC-IT) with Oakwood Clinical Associates, Ltd, practicing in Kenosha, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1053637629 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW, APSW, SAC-IT |
| Sole proprietor | No |
| NPI issued | Apr 7, 2010 |
| Last updated in NPPES | Apr 7, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 128033-121 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15877-130 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Oakwood Clinical Associates, LtdSalem, WI · 3 clinicians
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All 31 social workers in Kenosha · All social workers in Wisconsin