Julia A Larson, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Calimesa, CA
NPI 1336760263 · NPPES record last updated May 4, 2020
Key facts
- NPI
- 1336760263
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW61781 (CA)
- Practice address
- 281 Slack PL
Calimesa, CA 92320-1622 - Phone
- (909) 725-0684
- NPI assigned
- May 1, 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW61781 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW61781 | CA | Yes |
Addresses
Primary practice location
281 Slack PL
Calimesa, CA 92320-1622
Mailing address
281 Slack PL
Calimesa, CA 92320-1622
Phone (909) 725-0684
Other providers in Calimesa, CA
- Claudia Jaime
- Jonbec Care Inc
- Julzz Careful Commit
- L&L Live Well Nursing Professional Corporation
- Denise Lafourcade
- Buu-Dien Le
- Jeanne Lim
- Sunee Limmeechokchai
- Michael Logan
- Serah Wambui Macharia
All providers in Calimesa, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.