Active NPI
Jennifer L Markvart, LCSW
- Clinical Social Worker
- Appleton, WI
National Provider Identifier
1447762547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 9280-123
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | 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.
-
- Adult Mental Health Clinic/Center
- Appleton, WI
- NPI 1295356897
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
WI
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.