Larina Jolynn Ditto, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2005019896 Issued in MO

Practice address

9200 Watson Rd
Suite G101
Saint Louis, MO 63126-1528

Phone

(314) 544-3800

Fax

(314) 843-0552

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Larina Jolynn Carr Former name

Medicare fee-for-service enrollment

Enrolled in MO

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Immediate Convenient Care LLCGroup PAC ID 0648313486, 23 clinicians

Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

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.

• Saint Francis Medical Center

  • Anesthesiology Physician
  • Cape Girardeau, MO
  • NPI 1356304489
  Medicare reassignment Care Compare group NPD
• SSM Health Care St Louis

  • Emergency Medicine Physician
  • Fenton, MO
  • NPI 1275586174
  Medicare reassignment NPD
• Saint Francis Medical Center

  • Rural Health Clinic/Center
  • Cape Girardeau, MO
  • NPI 1518372481

  Clinical

  NPD
• Saint Francis Medical Center

  • Clinic/Center
  • Jackson, MO
  • NPI 1992502975
  NPD
• SSM Health Care St. Louis

  • Emergency Medical Services (Emergency Medicine) Physician
  • Lake St Louis, MO
  • NPI 1538113097
  NPD
• Catholic Family Services Inc.

  • Mental Health Counselor
  • Union, MO
  • NPI 1154480176
  NPD (past)
• St Louis Counseling Inc

  • Voluntary or Charitable Agency
  • Fenton, MO
  • NPI 1053397133
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1326324260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662807",
            "telephone_number": "636-281-1990",
            "fax_number": "636-281-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD",
            "address_2": "SUITE G101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-544-3800",
            "fax_number": "314-843-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTO",
        "first_name": "LARINA",
        "middle_name": "JOLYNN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2005019896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LARINA",
            "last_name": "CARR",
            "middle_name": "JOLYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Distinguished Healthcare LLC
• Madeline Jane Distler, ACNP
• Sarah Marie Ditch, MD
• Diane E Dito, ANP
• Kevin Jacob Dittlinger, OD
• Nicole Niara Ditto
• Vijayalakshmi Divakaran, ARNP, BC
• Richard M Divalerio, M.D.
• Divan Chiropractic and Sports Rehabilitation
• Nicholas Divan, D.C.

• Clinical Social Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.