Individual provider Active NPI

Ann O Jarrel, LCSW

  • Clinical Social Worker
  • Tyler, TX
National Provider Identifier
1497803076
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S12893 Issued in TX
Practice address
2624 Kensington Dr Ste 109
Tyler, TX 75703-2734
Phone
(903) 509-9398
Fax
(866) 399-2809
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S12893 TX Primary

Addresses

Primary practice location

2624 Kensington Dr Ste 109
Tyler, TX 75703-2734

Mailing address

3101 Belmead LN
Tyler, TX 75701-7839
Phone (903) 509-9398

Other identifiers 2

IdentifierTypeStateIssuer
3927LCOtherTXBCBS
116243003MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20050119000743 TX Practitioner - Clinical Social Worker 0840249652 Practice locations: Tyler, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2624 Kensington Dr
Suite 109
Tyler, TX 75703-2734
Phone (903) 571-5695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S12893TXMDClinical Social Worker
12893TXMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Brittain & Associates Inc Past Accepting new patients

Organizations & group practices 1

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1497803076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 BELMEAD LN",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757017839",
            "telephone_number": "903-509-9398",
            "fax_number": "866-399-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 KENSINGTON DR STE 109",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032734",
            "telephone_number": "903-509-9398",
            "fax_number": "866-399-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARREL",
        "first_name": "ANN",
        "middle_name": "O",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "S12893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3927LC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116243003",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.