Individual provider Active NPI

Jennifer L Markvart, LCSW

  • Clinical Social Worker
  • Appleton, WI
National Provider Identifier
1447762547
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9280-123 Issued in WI
Practice address
5497 W Waterford LN Ste C
Appleton, WI 54913-8489
Phone
(414) 220-4255
NPI assigned
Oct 30, 2017
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9280-123 WI Primary

Addresses

Primary practice location

5497 W Waterford LN Ste C
Appleton, WI 54913-8489

Mailing address

5497 W Waterford LN Ste C
Appleton, WI 54913-8489
Phone (920) 543-3619

Other practice location 1

2640 W Point Rd
Green Bay, WI 54304-1344
Phone (920) 490-3790

Other names 1

  • Jennifer L Attwood Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20250529003704 WI Practitioner - Clinical Social Worker 1153746086 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Sep 1, 2025 Accepting new patients

Locations

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1447762547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5497 W WATERFORD LN STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138489",
            "telephone_number": "920-543-3619",
            "fax_number": "920-543-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5497 W WATERFORD LN STE C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138489",
            "telephone_number": "414-220-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 W Point Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543041344",
            "country_code": "US",
            "telephone_number": "920-490-3790",
            "fax_number": "920-490-3845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARKVART",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9280-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ATTWOOD",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.