Individual provider Active NPI

Thomas S Larson, LCSW

  • Clinical Social Worker
  • Morristown, NJ
National Provider Identifier
1114170909
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00278600 Issued in NJ
Practice address
100 Madison Avenue
Crisis Intervention
Morristown, NJ 07962-1955
Phone
(973) 971-5402
Fax
(973) 451-0166
NPI assigned
Oct 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00278600 NJ Primary

Addresses

Primary practice location

100 Madison Avenue
Crisis Intervention
Morristown, NJ 07962-1955

Mailing address

25 Lindsley Dr
Suite100
Morristown, NJ 07960-4455
Phone (973) 451-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190401000016 NJ Practitioner - Clinical Social Worker 5698016699 Reassigns benefits to 1 organization
Practice locations: Clifton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Psych Center LLCGroup PAC ID 0446527261, 3 clinicians

Practice addresses (Care Compare)

103 River Rd
Suite 101
Edgewater, NJ 07020-1016
Phone (201) 606-2592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Psych Center LLC CurrentSince Mar 1, 2019 Accepting new patients
Higher Ground Behavioral Health LLC PastSince Dec 1, 2022 Accepting new patients

Locations

20 E Taunton Rd
Ste 540
Berlin, NJ 08009
Phone (856) 809-2940

103 River Rd
Ste 101
Edgewater, NJ 07020
Phone (201) 606-2592

125 River Rd
Ste 106
Edgewater, NJ 07020
Phone (201) 606-2592

465 Bloomfield Ave
Fl 2
Montclair, NJ 07042

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224806400000",
    "number": "1114170909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR",
            "address_2": "SUITE100",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604455",
            "telephone_number": "973-451-0246",
            "fax_number": "973-451-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVENUE",
            "address_2": "CRISIS INTERVENTION",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079621955",
            "telephone_number": "973-971-5402",
            "fax_number": "973-451-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "THOMAS",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00278600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.