Archie J Larsen
Individual provider Active NPI Clinical Social Worker · Grantsville, UT
NPI 1114850484 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1114850484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 822 E Main St Ste G
Grantsville, UT 84029-2501 - Phone
- (435) 850-0034
- NPI assigned
- Jun 5, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | UT | Yes |
Addresses
Primary practice location
822 E Main St Ste G
Grantsville, UT 84029-2501
Mailing address
822 E Main St Ste G
Grantsville, UT 84029-2501
Phone (435) 850-0034
Other providers in Grantsville, UT
- Shane M Juber
- Anita Keetch
- Josseline Kelley
- Kiersten Kemp
- Benjamin J Krogh
- Crystina Larsen
- Jeffrey D Lee
- Abigail Liddiard
- Terell Lujan
- Tabitha Mahaffey
All providers in Grantsville, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.