Look up the most recent NPI and PECOS records

Bianca Jarvis

Social Worker

Behavioral Health & Social Service Providers

333 Estudillo Ave Ste 211, San Leandro, CA 94577-4717

PECOS Enrollment

Based on the most recent information from CMS, provider Bianca Jarvis is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1740865849
Provider Type
Individual
Full Name
Jarvis, Bianca
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/10/2021
Last Updated
1/29/2023

Contact Information

Practice Location

333 Estudillo Ave Ste 211, San Leandro, CA 94577-4717

(510) 305-6656

Unlisted Fax

Mailing Location

PO Box 5041, Berkeley, CA 94705-0041

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW28393 California

Bianca Jarvis

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stewart, Tatiana Geneva

Welch, Cheryl Yvette

Castello, Jennifer Rae

Perry, Ellen Elizabeth

Marcucci-Morris, Ilana Vera

Galan-De Martinez, Lisa Carmel

Shing, Susan V.L.

Federman, Leemore

Wilson, Meghan

Cage-Watson, Renee L