James A Jenkins Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004019 Issued in GA

Practice address

Building 40701, 41St St
Ddeamc
Fort Gordon, GA 30905-5650

Phone

(706) 787-6624

Fax

(706) 787-8180

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1154435790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 EAST HOSPITAL ROAD",
            "address_2": "DDEAMC",
            "city": "FORT GODON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-6624",
            "fax_number": "706-787-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BUILDING 40701, 41ST ST",
            "address_2": "DDEAMC",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-6624",
            "fax_number": "706-787-8180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "JAMES",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW003109",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Lee James, M.D.
• Jacqueline James, LPN
• Karin Macayla Jamison, DMD
• Bryan Kelly Jaye, CRNP
• Dana Jenkins, FNP
• Keyonna Micole Jenkins, M.D.
• Chris K Jensen, DO
• Monika Rene Jernigan
• Robert E Jeschke, D.O.
• Carolyn Johnson

• All providers in Fort Gordon, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.