Active NPI
Frankie Diane Larsen, LCSW
- Clinical Social Worker
- Fruitland, ID
National Provider Identifier
1669609020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-37905
- 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, 2020
- 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 | 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, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Counseling PLLC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.