Active NPI
Anne Marie Jarvis, MSW
- Clinical Social Worker
- Dorchester, MA
National Provider Identifier
1033326574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 119634
- Practice address
- 538 Talbot Ave
Dorchester, MA 02124 - Phone
- (617) 282-0126
- NPI assigned
- May 16, 2007
- 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 | 119634 | MA | Primary |
Addresses
Primary practice location
538 Talbot Ave
Dorchester, MA 02124
Mailing address
22 Ackers Ave
Brookline, MA 02445-4161
Phone (617) 232-2954
Other practice location 1
13 Temple St
Quincy, MA 02169-5110
Phone (617) 471-8400 ext. 164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119634 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531958400000",
"number": "1033326574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ACKERS AVE",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024454161",
"telephone_number": "617-232-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 TALBOT AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "02124",
"telephone_number": "617-282-0126"
}
],
"practiceLocations": [
{
"address_1": "13 Temple St",
"address_purpose": "LOCATION",
"city": "Quincy",
"state": "MA",
"postal_code": "021695110",
"country_code": "US",
"telephone_number": "617-471-8400 x164",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JARVIS",
"first_name": "ANNE",
"middle_name": "MARIE",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-16",
"last_updated": "2018-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "119634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.