Susan D Jarvis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

190 Bonar Ave
Waynesburg, PA 15370-1604

Phone

(724) 627-8156

NPI assigned

Nov 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• New Directions Mental Health, PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • MC Murray, PA
  • NPI 1215904800

  Clinical

  Medicare reassignment Care Compare group NPD
• Centerville Clinics Inc.

  • Specialist
  • Washington, PA
  • NPI 1538346812
  NPD (past)
• Centerville Clinics, Inc

  • Case Management Agency
  • Connellsville, PA
  • NPI 1528284015
  NPD (past)
• Centerville Clinics, Inc Blended

  • Case Management Agency
  • Fredericktown, PA
  • NPI 1477722049
  NPD (past)
• Centerville Clinics, Inc.

  • Community/Behavioral Health Agency
  • Washington, PA
  • NPI 1619145760
  NPD (past)
• Centerville Clinics, Inc. Psy

  • Clinical Social Worker
  • Waynesburg, PA
  • NPI 1679748594
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1255401816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 OLD NATIONAL PIKE",
            "city": "FREDERICKTOWN",
            "state": "PA",
            "postal_code": "153332114",
            "telephone_number": "724-632-6801",
            "fax_number": "724-632-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 BONAR AVE",
            "city": "WAYNESBURG",
            "state": "PA",
            "postal_code": "153701604",
            "telephone_number": "724-627-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "SUSAN",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440088",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "328834A336347",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE BEHAVIORAL HEALTH",
            "identifier": "328834A336348",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007288440027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Michael Houston, D.C.
• Lisa A Huffine
• Franklin P Hughes, DC
• Erika Nicole Hunter
• Jack M. Bergstein MD LLC
• Jay Rumbaugh DC LLC
• Sunita N. Jayakumar, M.D.
• James Andrew Jefferson
• Jennifer Ludrosky, PH.D., Inc.
• Byunghak Jin, M.D.

• Clinical Social Worker in Waynesburg, PA
• Providers in Waynesburg, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.