Jennifer E. Markyna, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW001635 Issued in GA

Practice address

300 E Hospital Rd
Eamc- RTF- 12 West
Ft. Gordon, GA 30905-5650

Phone

(706) 787-8290

NPI assigned

Dec 13, 2006

Last updated

Sep 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1538220439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 PERSIMMON RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30904",
            "telephone_number": "706-736-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E HOSPITAL RD",
            "address_2": "EAMC- RTF- 12 WEST",
            "city": "FT. GORDON",
            "state": "GA",
            "postal_code": "309055650",
            "telephone_number": "706-787-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKYNA",
        "first_name": "JENNIFER",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "0744R",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW001635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lee Malonjao
• Leslie Ann Mann, PHARMD
• Joseph Mansfield, M.D.
• Regina Mar, D.D.S.
• Dana Marie Marek, M.A., CCC-SLP
• Gordon Andrew Marshall, PHYSICIAN ASSISTANT
• Eric David Martin, D.O.
• Brendan Martino, DO
• Clarice Dewitt Marty, LPTA
• Mauricio Masferrer, M.D.

• Clinical Social Worker in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.