Individual provider Active NPI

Emily Jarvis, LISW-S

  • Social Worker
  • Dublin, OH
National Provider Identifier
1417254343
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S0900873 Issued in OH
Practice address
6209 Riverside Dr Ste 200
Dublin, OH 43017-6028
Phone
(614) 310-4940
Fax
(614) 310-4941
NPI assigned
Feb 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0900873 OH Primary

Addresses

Primary practice location

6209 Riverside Dr Ste 200
Dublin, OH 43017-6028

Mailing address

PO Box 715194
Columbus, OH 43271-5194
Phone (614) 355-8004

Other practice location 1

899 E Broad St
3Rd Floor
Columbus, OH 43205-1156
Phone (614) 355-8000

Other identifiers 1

IdentifierTypeStateIssuer
08258MedicaidOH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0900873OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sonya Slater PSYD Psychologist LLC CurrentSince Jun 18, 2023 Accepting new patients
Nationwide Children's Hospital Past Accepting new patients

Locations

6209 Riverside Dr
Ste 200
Dublin, OH 43017
Phone (614) 310-4940

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1417254343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715194",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432715194",
            "telephone_number": "614-355-8004",
            "fax_number": "614-355-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 RIVERSIDE DR STE 200",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430176028",
            "telephone_number": "614-310-4940",
            "fax_number": "614-310-4941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "899 E Broad St",
            "address_2": "3RD FLOOR",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432051156",
            "country_code": "US",
            "telephone_number": "614-355-8000",
            "fax_number": "614-355-8548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "EMILY",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0900873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08258",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.