Jacqueline C Carver, LISW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1201243 Issued in OH

Practice address

201 W Charles St Ste B
Bucyrus, OH 44820-2217

Phone

(419) 617-1140

Fax

(419) 740-1515

NPI assigned

Apr 19, 2012

Last updated

Jan 22, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Ohio State University College of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J.C. Wellness Solutions, LLC

  • Clinical Social Worker
  • Bucyrus, OH
  • NPI 1477361491
  Medicare reassignment NPD Authorized official
• Psa 3 Agency on Aging, Inc.

  dba Area Agency on Aging 3

  • Public Health or Welfare Agency
  • Lima, OH
  • NPI 1104255868
  Medicare reassignment NPD

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1417214032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 STATE ROUTE 61",
            "city": "CRESTLINE",
            "state": "OH",
            "postal_code": "448279451",
            "telephone_number": "419-617-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W CHARLES ST STE B",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448202217",
            "telephone_number": "419-617-1140",
            "fax_number": "419-740-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVER",
        "first_name": "JACQUELINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1201243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bucyrus SNF Healthcare LLC (Unger Park Post Acute)
• Sandra Sue Busby
• Denise Lee Butler, STNA ASSOC IN HUMSCI
• Marla Ann Butler, RN
• Cindy L Carver
• Sandra Marie Castle, LPN
• Konnor Charles Chesnutte, CPHT
• Angela Nichole Ciroli, NP-C
• Annemarie B. Clark, D.O.
• Lainey Marie Clingman, STNA

• Clinical Social Worker in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
• 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.