Michael Jay Ansley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW25886 Issued in FL

Practice address

3004 3Rd St S Unit D
Jacksonville Beach, FL 32250-6033

Phone

(904) 990-7117

NPI assigned

Jul 17, 2024

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Open Air Wellness, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1518804194

  Clinical

  NPD Authorized official
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment
• Authentic Self Counseling of Jacksonville, LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1407400591
  NPD (past)

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765670400000",
    "number": "1760220545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 MAYPORT RD UNIT 636",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322334686",
            "telephone_number": "772-321-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 3RD ST S UNIT D",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506033",
            "telephone_number": "904-990-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7235 Bentley Rd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567506",
            "country_code": "US",
            "telephone_number": "904-990-7117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSLEY",
        "first_name": "MICHAEL",
        "middle_name": "JAY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-17",
        "last_updated": "2025-12-14",
        "certification_date": "2025-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW25886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Anderson, MD
• Meghan Anderson, A.R.N.P.
• Erica Francisca Andrade, APRN FNP-C
• Samantha Larson Anello, DPT
• Annelie McCrorie Welch, LCSW, BCB, LLC
• Anthony L Capasso MD Primary Care
• Devon M Anthony, PA-C
• Veronica M. Antoine, MD
• Lilyeth Antonio
• Apm Providers, Inc

• Clinical Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.