Larissa Ferne Archuleta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7756352-3501 Issued in UT

Practice address

962 Chambers St Ste 11
South Ogden, UT 84403-5092

Phone

(801) 625-3700

NPI assigned

Aug 30, 2013

Last updated

Jan 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Help Clinic

  • Marriage & Family Therapist
  • Ogden, UT
  • NPI 1225677693

  Clinical

  NPD (past)

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

{
    "created_epoch": "1377820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1669806246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 S 2915 W",
            "city": "WEST HAVEN",
            "state": "UT",
            "postal_code": "844019865",
            "telephone_number": "801-678-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "962 CHAMBERS ST STE 11",
            "city": "SOUTH OGDEN",
            "state": "UT",
            "postal_code": "844035092",
            "telephone_number": "801-625-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHULETA",
        "first_name": "LARISSA",
        "middle_name": "FERNE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-30",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "7756352-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "260022408",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000308007",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Carol Andrews, APRN
• Maximillian Andrews, BCBA
• Terrence Wayne Andrews, DO
• Applied Behavior Connections LLC
• Hannah Archibald, RBT
• Arrivals Birth Services
• Arthur and Judy Smith, LLC
• Associated Fresh Markets Inc (Fresh Market Pharmacy #2388)
• Isaac Atkinson, RBT
• Atlas Clinic PC

• Clinical Social Worker in South Ogden, UT
• Providers in South Ogden, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.