Jamie Rae Larsen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LMSW-36745 Issued in ID

Practice address

411 Congress St
Portland, ME 04101-3505

Phone

(207) 405-0433

NPI assigned

Aug 9, 2017

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

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 and National Provider Directory roles.

• Public Health District IV

  • Public Health or Welfare Agency
  • Boise, ID
  • NPI 1326009648
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1669997797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013505",
            "telephone_number": "207-405-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CONGRESS ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013505",
            "telephone_number": "207-405-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "JAMIE",
        "middle_name": "RAE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-36745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jay Larmon, MD
• Jacques Richard Larochelle
• Madeline C Larochelle, MD
• Ryan Larochelle, M.D.
• Casey Larsen, MS RD LDN CNSC
• Jocelyn R. Larsen, DO
• Stephanie Nicole Larsen
• Jessica Larson, MD
• Nancy Neal Larson, L.C.P.C.
• Denise Larue, M.D.

• Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.