Individual provider Active NPI

Larry Lacross, LLMSW

  • Clinical Social Worker
  • Alpena, MI
National Provider Identifier
1245475417
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090780 Issued in MI
Practice address
154 S Ripley Blvd
Alpena, MI 49707-3406
Phone
(989) 356-6385
NPI assigned
Dec 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090780 MI Primary

Addresses

Primary practice location

154 S Ripley Blvd
Alpena, MI 49707-3406

Mailing address

154 S Ripley Blvd
Alpena, MI 49707-3406
Phone (989) 356-6385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20110809000157 MI Practitioner - Clinical Social Worker 3678742665 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Human Services, Inc Current Accepting new patients
Catholic Charities of Michigan Incorporated Past Accepting new patients

Locations

154 S Ripley Blvd
Alpena, MI 49707
Phone (989) 356-6385

1000 Hastings St
Traverse City, MI 49686
Phone (231) 947-8110

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1245475417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073406",
            "telephone_number": "989-356-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 S RIPLEY BLVD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497073406",
            "telephone_number": "989-356-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACROSS",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.