Celina Ululani Larson

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-35425 Issued in ID

Practice address

1009 Highway 2 Ste E
Sandpoint, ID 83864-2736

Phone

(208) 304-8918

Fax

(208) 625-2064

NPI assigned

Sep 24, 2013

Last updated

Dec 21, 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 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2024 through Jul 1, 2028

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.

• 7B Wellness, PLLC

  • Clinical Social Worker
  • Sandpoint, ID
  • NPI 1699544114
  NPD Authorized official
• Boundary Volunteer Ambulance Service Inc.

  • Ambulance
  • Bonners Ferry, ID
  • NPI 1801920251
  NPD (past)
• Rawlings Community Counseling

  • Community/Behavioral Health Agency
  • Bonners Ferry, ID
  • NPI 1245528082
  NPD (past)

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

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1184050957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1945",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640905",
            "telephone_number": "208-304-8918",
            "fax_number": "208-625-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HIGHWAY 2 STE E",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642736",
            "telephone_number": "208-304-8918",
            "fax_number": "208-625-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CELINA",
        "middle_name": "ULULANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LMSW-33053",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61051416",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-35425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Pend Oreille School District #84
• Lakeshore Health PLLC
• Lakeside Aesthetics - LLC (Lakeside Medicine and Aesthetics LLC)
• Lakeside Anesthesia Services
• Terry Ann Lane, N.P.
• Linda Irene Larson, PH.D. LMFT
• Preston Lasley
• Bambi Lassen, LMSW
• Jodi Laughridge
• Thomas L Lawrence, M.D.

• Clinical Social Worker in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.