Individual provider Active NPI

Arlette Adele Large, LCSW , CADC III,

  • Clinical Social Worker
  • Eureka, CA
National Provider Identifier
1437666898
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121367 Issued in CA
Practice address
1026 N St
Eureka, CA 95501-2047
Phone
(707) 498-4325
NPI assigned
Jan 8, 2018
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
121367OtherCABOARD OF BEHAVIORAL HEALTH ( LICENSED CLINICAL SOCIAL WORKER)
015097OtherCANCAC I
15356OtherORBOARD OF LICENSED SOCIAL WORKERS LCSW
BII00070619OtherCACADCIII

Other names 1

  • Arlette Adele Large Professional name

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

LicenseStateTypeSpecialty
BII00070619CAMDAddiction (Substance Use Disorder) Counselor
121367CAMDClinical Social Worker
15356ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.