Erna Larson, LICSW

Individual provider Active NPI Clinical Social Worker · Medfield, MA

NPI 1215548458 · NPPES record last updated Aug 12, 2020

Key facts

NPI
1215548458
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
114285 (MA)
Practice address
3 Bartlett Ave
Medfield, MA 02052-2430
Phone
(617) 678-0178
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
114285MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 114285 MA Yes

Addresses

Primary practice location

3 Bartlett Ave
Medfield, MA 02052-2430

Mailing address

3 Bartlett Ave
Medfield, MA 02052-2430
Phone (617) 678-0178

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Medfield Direct

Other providers in Medfield, MA

All providers in Medfield, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.