Anthony Bernard Jackson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

106666 Issued in TX

Practice address

1521 Green Oak PL Ste 250
Kingwood, TX 77339-2044

Phone

(281) 608-1342

Fax

(832) 436-1648

NPI assigned

Jan 7, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triumph Recovery and Counseling Center

  • Clinical Social Worker
  • Houston, TX
  • NPI 1962369561
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1497416788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1346",
            "fax_number": "832-436-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1521 GREEN OAK PL STE 250",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392044",
            "telephone_number": "281-608-1342",
            "fax_number": "832-436-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANTHONY",
        "middle_name": "BERNARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-07",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "106666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Ives, M.A. CCC-SLP
• Iztli Surgical Assisting LLC
• J H Thomas Jr MD PA
• J&S Management Services PLLC
• Jack Jones Hearing Centers, Inc.
• Kayla Dawn Jackson, LCSW
• Marcia Jackson, LPC
• Mary Kathleen Jackson
• Melanie Jackson
• Rakeya Jackson, RBT

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.