Individual provider Active NPI

Ama Larsen

  • Social Worker
  • Lovettsville, VA
National Provider Identifier
1215359831
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801095504 Issued in MI
Practice address
13282 April Cir
Lovettsville, VA 20180-3543
Phone
(517) 256-9928
Fax
(517) 347-9622
NPI assigned
Jan 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801095504 MI Primary

Addresses

Primary practice location

13282 April Cir
Lovettsville, VA 20180-3543

Mailing address

13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240320003244 VA Practitioner - Clinical Social Worker 3971940347 Reassigns benefits to 1 organization
I20260311004199 MA Practitioner - Clinical Social Worker 3971940347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

13282 April Cir
Lovettsville, VA 20180-3543
Phone (517) 256-9928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095504MIMDSocial Worker

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": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1215359831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13282 APRIL CIR",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201803543",
            "telephone_number": "517-256-9928",
            "fax_number": "517-347-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13282 APRIL CIR",
            "city": "LOVETTSVILLE",
            "state": "VA",
            "postal_code": "201803543",
            "telephone_number": "517-256-9928",
            "fax_number": "517-347-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "AMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lovettsville, VA

Sources for this page

Verify at the official NPI Registry.