Stephen Lee Larson Jr., LICSW, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

18241 Issued in MN

Practice address

151 Saint Andrews CT Ste 710
Mankato, MN 56001-8815

Phone

(507) 386-7121

Fax

(507) 344-0690

NPI assigned

Jan 10, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surdy Psychological Services LLC

  • Clinical Psychologist
  • Mankato, MN
  • NPI 1225576127
  Medicare reassignment NPD
• Journeys Toward Healing Counseling Center LLC

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1306134747
  NPD
• Mankato Marriage and Family Therapy Center PLC

  • Mental Health Counselor
  • Mankato, MN
  • NPI 1689990665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1659618650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SAINT ANDREWS CT STE 710",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560018815",
            "telephone_number": "507-386-7121",
            "fax_number": "507-344-0690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1227 Caledonia St",
            "address_purpose": "LOCATION",
            "city": "Mankato",
            "state": "MN",
            "postal_code": "560014329",
            "country_code": "US",
            "telephone_number": "507-388-8874",
            "fax_number": "507-625-4807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "STEPHEN",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-10",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Larson
• Matthew J Larson
• Michele J. Larson, MSW, LICSW
• Robert M Larson, MD
• Sarah Nicole Larson, MD, MS
• Thomas Dean Larson, DDS
• Angela Lathanavaly
• Latjor Home Care Center
• Clare Elizabeth Laubenthal, PA-C
• Angela Lauderbaugh

• Clinical Social Worker in Mankato, MN
• Providers in Mankato, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.