Margery Runyan, PHDABD, LCSW, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 8844 Issued in FL

Practice address

10660 Old Saint Augustine Rd Apt 402
Jacksonville, FL 32257-1057

Phone

(904) 896-0346

NPI assigned

Jan 17, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1750567913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD APT 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571057",
            "telephone_number": "904-896-0348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 OLD SAINT AUGUSTINE RD APT 402",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571057",
            "telephone_number": "904-896-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNYAN",
        "first_name": "MARGERY",
        "credential": "PHDABD, LCSW, LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-17",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 8844",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.margeryrunyan.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "351 Cherry Gulch Rd",
            "city": "Durango",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813016469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alberto Antonio Rullan, DPM
• Frederick John Rumford IV, D.M.D.
• Runaway, Inc
• Caroline Runion
• Jason Runyan, NP
• Mary Runyan
• Michael Clinton Runyan, AP
• William C Rupp, MD
• Melissa Ann Ruppel
• Rural and Health Disparities Psychiatric Services

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.