Individual provider Active NPI

Matthew Warren Larock, MSW, LSW, CACII

  • Social Worker
  • Steamboat Springs, CO
National Provider Identifier
1174949192
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW.0009921950 Issued in CO
Practice address
100 Park Ave Ste 204
Steamboat Springs, CO 80487-5012
Phone
(970) 846-6379
NPI assigned
Mar 14, 2014
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001121 CO
Social Worker 104100000X LSW.0009921950 CO Primary

Addresses

Primary practice location

100 Park Ave Ste 204
Steamboat Springs, CO 80487-5012

Mailing address

PO Box 883438
Steamboat Springs, CO 80488-3438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001121COMDAddiction (Substance Use Disorder) Counselor
LSW.0009921950COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tortuga Counselors, LLC Clinical CurrentSince Sep 17, 2023 Accepting new patients

Locations

100 Park Ave
Ste 204
Steamboat Springs, CO 80487
Phone (970) 846-6379

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1174949192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883438",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804883438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK AVE STE 204",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804875012",
            "telephone_number": "970-846-6379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCK",
        "first_name": "MATTHEW",
        "middle_name": "WARREN",
        "credential": "MSW, LSW, CACII",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-14",
        "last_updated": "2023-09-14",
        "certification_date": "2021-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001121",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW.0009921950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.