Claudette M Larson, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

16765 Issued in MN

Practice address

640 Atlantic Ave
Benson, MN 56215

Phone

(320) 843-3454

NPI assigned

Feb 2, 2007

Last updated

Sep 13, 2011By 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 2

Addresses

Other names 1

• Mrs. Claudette M Carlson-Larson Professional name

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Willow Creek Counseling LLCGroup PAC ID 6204115322, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Willow Creek Counseling LLC

  • Clinical Social Worker
  • New London, MN
  • NPI 1538612239
  Medicare reassignment Care Compare group NPD Authorized official
• Swift County-Benson Hospital

  • Critical Access Hospital
  • Benson, MN
  • NPI 1174529002
  Medicare reassignment NPD
• Swift County Benson Hospital

  dba Swift County Benson Health Services

  • Family Medicine Physician
  • Benson, MN
  • NPI 1174077739
  NPD
• Community Drug & Alcohol Services Inc

  dba Options Family & Behavior Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Burnsville, MN
  • NPI 1528145638
  NPD (past)
• Community Drug & Alcohol Services Inc

  dba Options Family & Behavior Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Burnsville, MN
  • NPI 1548341688

  Social Worker

  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1306984497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ATLANTIC AVENUE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "56215",
            "telephone_number": "320-843-3454",
            "fax_number": "320-843-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ATLANTIC AVE",
            "city": "BENSON",
            "state": "MN",
            "postal_code": "56215",
            "telephone_number": "320-843-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CLAUDETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "16765",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "16765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDETTE",
            "last_name": "CARLSON-LARSON",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kathleen Istre, PHD LP
• Jacqueline Brigette Julien, PSY.D., L.P.
• Jody Lee Kessler-Gross
• Sharon R. Kluempke, RD
• Adam Robert Kolander, R.PH.
• Gregory Allen Lee, DC
• Amanda Luthi
• Meadow Lane Operations LLC (Meadow Lane Rehabilitation and Healthcare Center)
• Karen Forbord Mitteness
• MS4 PLLC

• Social Worker in Benson, MN
• Providers in Benson, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.