Matthew G. Larson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

360939-3501 Issued in UT

Practice address

24 S 600 E
Ste. 6
SLC, UT 84102

Phone

(801) 599-6396

Fax

(801) 521-0688

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Matthew G Larson PC

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1093984031
  Medicare reassignment NPD Authorized official
• Matt Larson Psychotherapy and Associates

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1942746060
  NPD

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203897600000",
    "number": "1326002437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1221",
            "city": "SLC",
            "state": "UT",
            "postal_code": "841011221",
            "telephone_number": "801-599-6396",
            "fax_number": "801-599-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 600 E",
            "address_2": "STE. 6",
            "city": "SLC",
            "state": "UT",
            "postal_code": "84102",
            "telephone_number": "801-599-6396",
            "fax_number": "801-521-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MATTHEW",
        "middle_name": "G.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2008-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "360939-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Vincent Lange, MPT
• Nancy Langman Axtell
• Bonnie Larsen
• Bryan Steele Larson, DDS
• Dave Scott Larson, PT
• Mary June Latu, LCSW
• Madeline Lauder
• John U Lawrence, MD
• Micah Lawrence, PA-C
• Kendyl Leasure, CMHC

• Clinical Social Worker in SLC, UT
• Providers in SLC, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.