Individual
AUTUMN MARIE JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
502 E 2ND ST, DULUTH, MN 55805-1913
(218) 786-8376
Mailing address
10408 US HIGHWAY 151, MANITOWOC, WI 54220-9775
(715) 410-3433
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
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