MRS. JACQUELINE C CARVER (LISW-S) – Clinical Social Worker, NPI 1417214032

MRS. JACQUELINE C CARVER (LISW-S) is a healthcare provider. based in Crestline, Ohio. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LISW-S. They hold a License No. I.1201243 (OH). The NPI Number for MRS. JACQUELINE C CARVER (LISW-S) is 1417214032

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JACQUELINE C CARVER (LISW-S)
NPI
1417214032
Phone
(419) 617-9173
Address
3300 STATE ROUTE 61
Enumeration Date
19 April 2012
Last Update Date
22 January 2025

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
4197401434100
Graduation Year
2010 (16 years ago)
PAC ID
4284870395
Professional Enrollment ID
I20130416000412
Address ID
OH448202217BU201XXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

2,650 CLINICAL SOCIAL WORKER in OH

Provider Addresses for MRS. JACQUELINE C CARVER (LISW-S)

  • 3300 STATE ROUTE 61

    CRESTLINE, OH 448279451

    Phone: (419) 617-9173

    Type: Mailing

  • 201 W CHARLES ST STE B

    BUCYRUS, OH 448202217

    Phone: (419) 617-1140

    Fax: (419) 740-1515

    Type: Location

  • 824 BOWTOWN RD

    DELAWARE, OH 430159661

    Phone: (740) 369-7688

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130416000412IClinical Social WorkerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour23820$0
90834Psychotherapy, 45 minutes4111$0
90791Psychiatric diagnostic evaluation1313$0
View full utilization report →

Insurance plans in this area (ZIP 44827)

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Reviews

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Frequently asked questions

Is MRS. JACQUELINE C CARVER (LISW-S) listed with a National Provider Identifier?
Yes — MRS. JACQUELINE C CARVER (LISW-S) has NPI 1417214032 on file in the registry.
Is MRS. JACQUELINE C CARVER (LISW-S) still an active registrant?
MRS. JACQUELINE C CARVER (LISW-S) carries an active NPI according to the public dataset.
What kind of doctor is MRS. JACQUELINE C CARVER (LISW-S)?
MRS. JACQUELINE C CARVER (LISW-S) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. JACQUELINE C CARVER (LISW-S)?
Travel planning: use Crestline, Ohio as the reference point for MRS. JACQUELINE C CARVER (LISW-S), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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