Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michael Jay Ansley, LCSW

Individual provider Clinical Social Worker · NPI 1760220545

Michael Jay Ansley, LCSW is a Clinical Social Worker in Jacksonville Beach, Florida. Qualified in 2021, 5 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2024
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3004 3rd St S Unit D
Jacksonville Beach, FL 32250-6033
Phone: (904) 990-7117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7235 Bentley Rd Ste 308, Jacksonville, FL 32256-7506 — (904) 990-7117

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW25886 (FL)

Record details

NPI number1760220545
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 17, 2024
Last updated in NPPESDecember 14, 2025
Certification dateDecember 14, 2025
Mailing address2701 Mayport Rd Unit 636, Jacksonville, FL 32233-4686

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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