Rhett C. Larsen, LCSW
Individual provider Active NPI Clinical Social Worker · Ephraim, UT
NPI 1467480236 · NPPES record last updated Jul 9, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Nov 20, 2013.
Key facts
- NPI
- 1467480236
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 493345-3501 (UT)
- Practice address
- 390 W 1St N
Ephraim, UT 84627-2131 - Phone
- (435) 283-4065
- Fax
- (435) 283-5387
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 493345-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Utah Counseling Center | Past | Accepting new patients | |
| Central Utah Mental Health Substance Abuse | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 493345-3501 | UT | Yes |
Addresses
Primary practice location
390 W 1St N
Ephraim, UT 84627-2131
Mailing address
255 W Main St
Mt Pleasant, UT 84647-1331
Phone (435) 462-2416
Other providers in Ephraim, UT
- Trey Ned Kimball
- April King
- Amanda Kuhlman
- Jared Lynn Kummer
- Annamaria Ladamus
- Matthew Alof Larson
- Matthew H Larson
- Catherine Ann Leatham
- Maggi Leavitt
- Lighthouse Ranch Corporation
All providers in Ephraim, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.