Active NPI
Arlette Adele Large, LCSW , CADC III,
- Clinical Social Worker
- Eureka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 121367
- Practice address
- 1026 N St
Eureka, CA 95501-2047 - Phone
- (707) 498-4325
- NPI assigned
- Jan 8, 2018
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BII00070619 | CA | |
| Clinical Social Worker | 1041C0700X | 15356 | OR | |
| Clinical Social Worker | 1041C0700X | 121367 | CA | Primary |
Addresses
Primary practice location
1026 N St
Eureka, CA 95501-2047
Mailing address
2400 Spring St
Eureka, CA 95501-3502
Phone (707) 498-4325
Other practice location 1
1303 11th St
Eureka, CA 95501-2028
Phone (707) 443-4237
Other practice location 2
1219 10th St
Eureka, CA 95501-2024
Phone (707) 443-4237
Other practice location 3
2400 Spring St
Eureka, CA 95501-3502
Phone (707) 498-4325
Other practice location 4
1120 9th St
Eureka, CA 95501-1936
Phone (707) 443-4237
Other practice location 5
944 N St
Eureka, CA 95501-2045
Phone (707) 443-4237
Other practice location 6
905 L St
Eureka, CA 95501-1943
Phone (707) 443-4237
Other practice location 7
1024 N St
Eureka, CA 95501-2047
Phone (707) 443-0514
Other practice location 8
1116 9th St
Eureka, CA 95501-1936
Phone (707) 443-4237
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121367 | Other | CA | BOARD OF BEHAVIORAL HEALTH ( LICENSED CLINICAL SOCIAL WORKER) |
| 015097 | Other | CA | NCAC I |
| 15356 | Other | OR | BOARD OF LICENSED SOCIAL WORKERS LCSW |
| BII00070619 | Other | CA | CADCIII |
Other names 1
- Arlette Adele Large
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BII00070619 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 121367 | CA | MD | Clinical Social Worker |
| 15356 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Humboldt Recovery Center Inc., | Current | Accepting new patients |
Locations
1303 11th St
Eureka, CA 95501
Phone (707) 269-9566
Organizations & group practices 1
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.
-
- Substance Abuse Rehabilitation Facility
- Eureka, CA
- NPI 1073023107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1437666898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 SPRING ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955013502",
"telephone_number": "707-498-4325",
"fax_number": "707-442-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1026 N ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955012047",
"telephone_number": "707-498-4325"
}
],
"practiceLocations": [
{
"address_1": "1303 11th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012028",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1219 10th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012024",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Spring St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955013502",
"country_code": "US",
"telephone_number": "707-498-4325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1120 9th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011936",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "944 N St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012045",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "905 L St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011943",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1024 N St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955012047",
"country_code": "US",
"telephone_number": "707-443-0514",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1116 9th St",
"address_purpose": "LOCATION",
"city": "Eureka",
"state": "CA",
"postal_code": "955011936",
"country_code": "US",
"telephone_number": "707-443-4237",
"fax_number": "707-442-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARGE",
"first_name": "ARLETTE",
"middle_name": "ADELE",
"credential": "LCSW , CADC III,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "BII00070619",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "15356",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "121367",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF BEHAVIORAL HEALTH ( LICENSED CLINICAL SOCIAL WORKER)",
"identifier": "121367",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCAC I",
"identifier": "015097",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF LICENSED SOCIAL WORKERS LCSW",
"identifier": "15356",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CADCIII",
"identifier": "BII00070619",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARLETTE",
"last_name": "LARGE",
"middle_name": "ADELE",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.