Active NPI
Stephanie Smedley Larsen, LCSW
- Clinical Social Worker
- Aurora, CO
National Provider Identifier
1538293964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 305
- Practice address
- 3263 Fraser St Ste 3
Aurora, CO 80011-1245 - Phone
- (303) 371-1000
- NPI assigned
- Mar 15, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 305 | CO | Primary |
Addresses
Primary practice location
3263 Fraser St Ste 3
Aurora, CO 80011-1245
Mailing address
22011 Day Star Dr
Parker, CO 80138-8356
Phone (720) 851-1284
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 |
|---|---|---|---|
| 305 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients |
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.
-
dba LDS Family Services Colorado
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aurora, CO
- NPI 1891849303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1538293964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22011 DAY STAR DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801388356",
"telephone_number": "720-851-1284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3263 FRASER ST STE 3",
"city": "AURORA",
"state": "CO",
"postal_code": "800111245",
"telephone_number": "303-371-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSEN",
"first_name": "STEPHANIE",
"middle_name": "SMEDLEY",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.