Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Candice Jarvis, LCSW-R

Individual provider Clinical Social Worker · NPI 1275910457

Candice Jarvis, LCSW-R is a Clinical Social Worker in Amityville, New York. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
30
Licensed in
NY
In the registry since
2015
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Practice location Address checks out

615 Broadway Apt 31
Amityville, NY 11701-2140
Phone: (631) 532-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence R055452-1 (NY)

Record details

NPI number1275910457
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedApril 27, 2015
Last updated in NPPESApril 27, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Amityville