Active NPI
Julie Larson, LCSW, LISW
- Clinical Social Worker
- Des Moines, IA
National Provider Identifier
1447928841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 73076901
- Practice address
- 2404 Forest Dr Ste 250
Des Moines, IA 50312-5400 - Phone
- (917) 309-6145
- NPI assigned
- Aug 31, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 84970 | IA | |
| Clinical Social Worker | 1041C0700X | 73076901 | NY | Primary |
Addresses
Primary practice location
2404 Forest Dr Ste 250
Des Moines, IA 50312-5400
Mailing address
3317 Elmwood Dr
Des Moines, IA 50312-4323
Phone (917) 309-6145
Other practice location 1
154 W 14th St
New York, NY 10011-7307
Phone (917) 309-6145
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.julielarsonlcsw.com | Direct |
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 |
|---|---|---|---|
| 84970 | IA | MD | Clinical Social Worker |
| 73076901 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1447928841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 ELMWOOD DR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124323",
"telephone_number": "917-309-6145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 FOREST DR STE 250",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503125400",
"telephone_number": "917-309-6145"
}
],
"practiceLocations": [
{
"address_1": "154 W 14th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100117307",
"country_code": "US",
"telephone_number": "917-309-6145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARSON",
"first_name": "JULIE",
"name_prefix": "Ms.",
"credential": "LCSW, LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IA",
"license": "84970",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "73076901",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.julielarsonlcsw.com",
"affiliation": "N",
"endpointDescription": "Julie Larson, LCSW - Professional Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2404 Forest Dr Ste 250",
"city": "Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "503125400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.