AUTUMN MARIE JARVIS LICSW
NPI 1336725720
Social Worker - Clinical in Duluth, MN

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
502 E 2ND ST, DULUTH, MN 55805(218) 786-8376 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 4, 2026, Mar 22, 2026, Mar 12, 2026 and 4 more (7 updates tracked since 2021).

About Autumn Marie Jarvis Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTUMN MARIE JARVIS LICSW (NPI 1336725720) is an individual clinical provider in Duluth, Minnesota, licensed in Minnesota (31486) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336725720
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAUTUMN MARIE JARVISCredential: LICSW
Location Address502 E 2ND STDuluth, MN 55805-1913
Mailing Address10408 Us Highway 151Manitowoc, WI 54220-9775 · (715) 410-3433
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 24, 2021
Last NPPES UpdateMay 4, 20267 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1336725720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MN · 31486✔ Licensed in VA · 090420149✔ Licensed in MI · 6801117151✔ Licensed in WI · 9823✔ Licensed in VA · 0904020149
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
502 E 2ND ST, Duluth, MN 55805

Other Names 1

Former Name (1)Autumn Marie Erdmann

Secondary Practice Locations 4

Location 1729 Washington Ave NMinneapolis, MN 55401-2942 · Phone (323) 205-7088
Location 22581 University AveGreen Bay, WI 54311 · Phone (920) 431-2303 ext. 72752
Location 3811 E Washington AveMadison, WI 53703-3688 · Phone (323) 205-7088
Location 4123 N Oakland AveGreen Bay, WI 54303-2831 · Phone (920) 770-4088 · Fax (651) 705-0026

Other Identifiers 2

Other6801117151MI · 1041c0700x
Other9823-123WI · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Autumn Marie Jarvis Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143697151
PECOS Enrollment IDI20221104000236
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Autumn Jarvis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
400 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 1,460 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
Mental Health
700 REGENT ST
Madison, WI 53715
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4 clinicians in this Medicare group
Psychiatry
211 E LAKE ST STE 1B
Addison, IL 60101
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Minnesota enrollment
  • 98 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
502 E 2ND ST
DULUTH, MN 55805
Pharmacist
502 E 2ND ST
DULUTH, MN 55805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
502 E 2ND ST
DULUTH, MN 55805
General Acute Care Hospital
502 E 2ND ST
DULUTH, MN 55805
Psychologist
502 E 2ND ST
DULUTH, MN 55805
Physical Therapist
502 E 2ND ST
DULUTH, MN 55805
Speech-Language Pathologist
502 E 2ND ST
DULUTH, MN 55805
Psychiatry & Neurology (Psychiatry)
502 E 2ND ST
DULUTH, MN 55805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Jarvis's NPI number?

The NPI number for Autumn Jarvis is 1336725720. It was assigned to this individual provider in the NPPES registry on March 24, 2021. The provider is also known as Autumn Marie Erdmann.

Where is Autumn Jarvis located?

Autumn Jarvis practices at 502 E 2nd St, Duluth, MN 55805. The listed phone number is (218) 786-8376.

What is Autumn Jarvis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Autumn Jarvis enrolled in Medicare?

Yes. Autumn Jarvis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Autumn Jarvis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Autumn Jarvis reassigns Medicare benefits to 5 organizations: The Duluth Clinic, Ltd (Duluth, MN), Bellin Psychiatric Center Inc (Oconto Falls, WI), Dane County Counseling Services Sc (Madison, WI), Ghadeer Counseling Services PC (Addison, IL) and Mental Health Specialty Group PA (Durham, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Autumn Jarvis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Autumn Jarvis accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) list Autumn Jarvis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Jarvis was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.