Individual provider Active NPI

Rachael Yoder Jarvis, LICSW

  • Clinical Social Worker
  • Elizabeth, WV
National Provider Identifier
1841493129
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00943730 Issued in WV
Practice address
483 Court St
Elizabeth, WV 26143-1109
Phone
(304) 275-3301
Fax
(304) 275-4798
NPI assigned
Jun 6, 2007
Last updated
Nov 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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 DP00943730 WV Primary

Addresses

Primary practice location

483 Court St
Elizabeth, WV 26143-1109

Mailing address

PO Box 609
Elizabeth, WV 26143-0609
Phone (304) 275-3301

Other practice location 1

2610 Camden Ave
Parkersburg, WV 26101-5652
Phone (304) 917-3733

Other names 1

  • Rachael Erin Yoder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20110606000510 WV Practitioner - Clinical Social Worker 6406033174 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wirt County Health Services Association, IncGroup PAC ID 7810806577, shared by 11 NPIs, 31 clinicians

Practice addresses (Care Compare)

PO Box
Suite 609
Elizabeth, WV 26143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wirt County Health Services Association Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Sep 23, 2024 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Sep 23, 2024 Accepting new patients
Wirt County Health Services Association Inc CurrentSince Sep 23, 2024 Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Sep 23, 2024 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Sep 23, 2024 Accepting new patients
Wirt County Health Services Association, Inc Current Accepting new patients
Wirt County Health Services Association, Inc CurrentSince Sep 23, 2024 Accepting new patients
Westbrook Health Services, Inc. Current Accepting new patients

Locations

483 Court St
Elizabeth, WV 26143
Phone (304) 275-3301

2101 Dudley Ave
Parkersburg, WV 26101
Phone (304) 488-3610

2121 7th St
Parkersburg, WV 26101
Phone (304) 485-1721

2610 Camden Ave
Parkersburg, WV 26101
Phone (304) 428-1161

3705 Emerson Ave
Parkersburg, WV 26104
Phone (304) 865-0272

73 Nicolette Rd
Parkersburg, WV 26104
Phone (304) 861-4141

606 Washington St
Ravenswood, WV 26164
Phone (304) 273-1033

512A Church St S
Ripley, WV 25271
Phone (304) 372-1033

562 Charleston Dr
Ripley, WV 25271
Phone (304) 372-7341

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1841493129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261430609",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 COURT ST",
            "city": "ELIZABETH",
            "state": "WV",
            "postal_code": "261431109",
            "telephone_number": "304-275-3301",
            "fax_number": "304-275-4798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Camden Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015652",
            "country_code": "US",
            "telephone_number": "304-917-3733",
            "fax_number": "304-917-3750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "RACHAEL",
        "middle_name": "YODER",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00943730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "YODER",
            "middle_name": "ERIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elizabeth, WV

Sources for this page

Verify at the official NPI Registry.