Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093055394 Individual Practitioner Female Practitioner

Ashley Marie Jackson , LICSW, MSW

Counselor • Daytona Beach, FL

Professional Overview & Biography Verified Profile Summary

Ashley Jackson, LICSW, MSW is a registered healthcare professional specializing in Counselor in Daytona Beach, FL. Practice services are available at 841 JIMMY ANN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

841 Jimmy Ann Dr

Daytona Beach, FL 321174583

Telephone 3864253900
Fax 3862744140
Associated Practice Facility / Clinic
🏢 Halifax Behavioral Services Facility NPI 1649662198

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Daytona Beach, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
38 Specialists

Practicing in Daytona Beach, FL (3441 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License None LICSW

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Anne Conway

Counselor

NPI 1023350121
Jewel Johnson

Case Manager/Care Coordinator

NPI 1063101533
NPI 1063752715

Licensed Mental Health Counselor

Margaret Vargas

Case Manager/Care Coordinator

NPI 1073188405
Tyshia Gaynor

Social Worker - Clinical

NPI 1073240354
Lavon Thomas

Case Manager/Care Coordinator

NPI 1104165166

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 22, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2013

Registered at 841 JIMMY ANN DR, DAYTONA BEACH, FL 321174583 (Tel: 3864253900)

📍
Updated Business Mailing Address February 22, 2013

Registered at 841 JIMMY ANN DR, DAYTONA BEACH, FL 321174583 (Tel: 3864253900)

👤
Provider Name / Credentials Updated February 22, 2013

Recorded as ASHLEY JACKSON, LICSW, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2013

Counselor (License #LICSW in None)

🟢
Initial NPI Registration & Enumeration February 22, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093055394
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2013
Last Update: February 22, 2013
Sole Proprietor: No

Mailing Address

841 Jimmy Ann Dr

Daytona Beach, FL 321174583

Phone: 3864253900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.