Individual provider Active NPI

Frankie Diane Larsen, LCSW

  • Clinical Social Worker
  • Fruitland, ID
National Provider Identifier
1669609020
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-37905 Issued in ID
Practice address
7665 Custer Rd
Fruitland, ID 83619-5039
Phone
(208) 271-9362
Fax
(208) 271-9262
NPI assigned
Jun 12, 2009
Last updated
May 15, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L4838 OR
Clinical Social Worker 1041C0700X LCSW-37905 ID Primary

Addresses

Primary practice location

7665 Custer Rd
Fruitland, ID 83619-5039

Mailing address

7665 Custer Rd
Fruitland, ID 83619-5039
Phone (208) 271-9362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200601000932 ID Practitioner - Clinical Social Worker 7517398886 Reassigns benefits to 1 organization
I20201119001380 OR Practitioner - Clinical Social Worker 7517398886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1817 Hunter LN
Ontario, OR 97914-1326
Phone (208) 271-9362

7665 Custer Rd
Fruitland, ID 83619-5039
Phone (208) 271-9362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Larsen Counseling PLLC Clinical CurrentSince Apr 22, 2020 Accepting new patients

Locations

2209 N Whitley Dr
Fruitland, ID 83619
Phone (208) 271-9362

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1669609020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7665 CUSTER RD",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195039",
            "telephone_number": "208-271-9362",
            "fax_number": "208-271-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7665 CUSTER RD",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195039",
            "telephone_number": "208-271-9362",
            "fax_number": "208-271-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "FRANKIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L4838",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-37905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruitland, ID

Sources for this page

Verify at the official NPI Registry.