Ansley Jackson, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

19216 Issued in SC

Practice address

1565 Sam Rittenberg Blvd Ste 104
Charleston, SC 29407-4128

Phone

(706) 621-2186

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1952214900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 WATERFORD CT",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777714",
            "telephone_number": "706-621-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAM RITTENBERG BLVD STE 104",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074128",
            "telephone_number": "706-621-2186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "ANSLEY",
        "credential": "LISW-CP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "19216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Ard Vision Center
• Jackson Davenport Inc.
• Abigail Jackson, DMD
• Aisha Abeo Jackson, M.D.
• Amy Jackson, MA
• Bakari Jackson
• Benjamin F Jackson, MD
• Chloe Jackson
• Craig Jackson, COTA/L
• Desralei Jackson, LCSW,ACSW

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.