Kristen Nicole Larson-Samalus, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008567 Issued in CT

Practice address

30 Terry Rd
Hartford, CT 06105-1109

Phone

(860) 455-3384

NPI assigned

Sep 17, 2010

Last updated

Mar 18, 2025By 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

• Kristen Nicole Larson Other name

Medicare fee-for-service enrollment

Enrolled in CT

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, CT

  Medicare reassignment NPD
• A Tree of Life Counseling Center

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1124584982
  NPD (past) Authorized official
• A Tree of Life Counseling Center LLC

  • Clinical Social Worker
  • Bloomfield, CT
  • NPI 1730563016
  Authorized official Same address or phone

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1386952877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 TERRY RD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051109",
            "telephone_number": "860-455-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 TERRY RD",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051109",
            "telephone_number": "860-455-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON-SAMALUS",
        "first_name": "KRISTEN",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-17",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "008567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "LARSON",
            "middle_name": "NICOLE",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Diane Larese, CRNA
• Kayla Larkin
• Charlotte A Larocca, M.D.
• Vito R Larocca, MD
• Alicia Larose, PSYD
• Emma V Larson, PA-C
• Erinrose Bernadette Larsson, APRN
• Christine A Lasala, M.D.
• Leann Laspino, CRNA
• Jennifer Elana Lassman

• Clinical Social Worker in Hartford, CT
• Providers in Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.