Joshua Larsen, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

29802 Issued in MN

Practice address

23 Pine St N
Mora, MN 55051-1320

Phone

(320) 679-6964

NPI assigned

Oct 23, 2023

Last updated

May 22, 2026By the provider in NPPES

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 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, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26347/brand/1/csg/1/fhir/r4

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.

• Selah Wellness Center LLC

  • Multi-Specialty Clinic/Center
  • Sandstone, MN
  • NPI 1619774783
  Medicare reassignment NPD
• Selah Wellness Clinic LLC

  • Primary Care Clinic/Center
  • Sandstone, MN
  • NPI 1215676747
  Medicare reassignment NPD
• True Grace Clinic LTD

  • Multi-Specialty Clinic/Center
  • Pine City, MN
  • NPI 1780480582
  Medicare reassignment NPD
• 127 Ministries PSC

  dba 127 Ministries

  • Mental Health Counselor
  • Mora, MN
  • NPI 1417771213
  NPD Authorized official
• Love the Journey Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mora, MN
  • NPI 1609286368
  NPD
• Selah Wellness Clinic LLC

  • Psychiatry Physician
  • Mora, MN
  • NPI 1649139171
  NPD
• Selah Wellness Clinic LLC

  • Nurse Practitioner
  • Pine City, MN
  • NPI 1104513126
  NPD (past)

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1366214488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PINE ST N",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511320",
            "telephone_number": "320-679-6964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PINE ST N",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511320",
            "telephone_number": "320-679-6964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JOSHUA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "29802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Richard Kroschel, M.D.
• Louisa Krueger, CNP
• Renee Elaine Lacroix, LPCC, LADC
• Scott W Lagaard, MD
• Lake Street Family Dental PA
• Denise Marie Larson, D.O.
• Alaina Marie Lee, P.T.
• Legacy Counseling Services, Inc
• Patricia Rae Lind, PHARM D
• Bryanna Lindahl

• Clinical Social Worker in Mora, MN
• Providers in Mora, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; 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.