Elizabeth A Larsen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1853 Issued in ND

Practice address

1900 8TH Ave SE
Minot, ND 58701-4935

Phone

(701) 857-5998

Fax

(701) 857-5022

NPI assigned

Oct 16, 2006

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Family ServicesGroup PAC ID 9335232198, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.05 of 100Reported as group

Quality

60.57

Promoting interoperability

98

Improvement activities

40

Cost

77.93

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Dakota Family Services

  • Clinic/Center
  • Minot, ND
  • NPI 1114119989
  Medicare reassignment Care Compare group NPD
• Dakota Family Services

  dba Dakota Family Services Bismarck

  • Clinic/Center
  • Bismarck, ND
  • NPI 1184352734
  NPD
• Dakota Family Services

  • Clinic/Center
  • Fargo, ND
  • NPI 1578755344
  NPD (past)
• St Aloisius Hospital Inc

  dba St Aloisius Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Harvey, ND
  • NPI 1639296007
  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1174603856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587025010",
            "telephone_number": "701-418-8000",
            "fax_number": "701-857-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 8TH AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587014935",
            "telephone_number": "701-857-5998",
            "fax_number": "701-857-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "1853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19101",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Landsiedel
• Patrick Benjamin Landsiedel, DDS
• Nicole Lang
• Charyle Langelle, PHD
• Sandra M Lanz, LSW
• Elizabeth Danielle Larsen
• Andrea B. Larson, AU.D.
• Annika Larson, D.C.
• Candace Larson, MS CCC-SLP
• Kathleen Larson, PA-C

• Clinical Social Worker in Minot, ND
• Providers in Minot, ND by specialty
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.