Nyles Jackson, MSW, APSW, SAC-IT
NPI 1053637629 · Social Worker · Kenosha, WI
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nyles Jackson, MSW, APSW, SAC-IT is a Social Worker provider in Kenosha, WI (NPI 1053637629).
Provider details
- NPI number
- 1053637629
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, APSW, SAC-IT
- Sex
- Male
- Sole proprietor
- No
- License
- 15877-130 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2010-04-07
Frequently asked questions
- What is Nyles Jackson's NPI number?
- Nyles Jackson's National Provider Identifier (NPI) is 1053637629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nyles Jackson's specialty?
- Nyles Jackson is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Nyles Jackson located?
- Nyles Jackson's practice location on file with NPPES is 4109 67th St, Kenosha, WI 53142-3836.
- What is Nyles Jackson's phone number?
- The practice phone number listed in the NPPES registry for Nyles Jackson is (262) 652-9830.
- Does Nyles Jackson accept Medicare?
- Nyles Jackson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nyles Jackson's NPI active?
- Yes — Nyles Jackson's NPI (1053637629) is active in the NPPES registry as of the last update on 2010-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.