Individual
AUTUMN MARIE JARVIS
Active
Individual
AUTUMN MARIE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
13129-121
WI
1041C0700X
Clinical Social Worker
0904020149
VA
1041C0700X
Clinical Social Worker
090420149
VA
1041C0700X
Clinical Social Worker
Primary
31486
MN
1041C0700X
Clinical Social Worker
6801117151
MI
1041C0700X
Clinical Social Worker
9823
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801117151
1041C0700X
MI
01
—
9823
LICENSE
WI
01
—
9823-123
LICENSE
WI
Enumeration date
03/24/2021
Last updated
05/04/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up