Mikal Larsen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

97 South St Ste 105
West Hartford, CT 06110-1964

Phone

(860) 461-0504

Fax

(860) 461-0659

NPI assigned

Jan 20, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hopeful Hearts Counseling LLC

  • Clinical Social Worker
  • Suffield, CT
  • NPI 1942945415
  NPD Authorized official

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1679103519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504",
            "fax_number": "860-461-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SOUTH ST STE 105",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061101964",
            "telephone_number": "860-461-0504",
            "fax_number": "860-461-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MIKAL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Lange I
• Lisa Beth Langweil, M.S.,CCC/SLP
• Robin Tucker Lapidus, ED.D.
• Bernard Lapp, PH.D.
• Lucas Larcheveque, MS, LMFT
• Sarah J Larsen, BCBA
• Latoya C Watson. LLC
• Moshe Laub, D.C.
• Laura Toce, Psy.D., LLC
• Laura'S Counseling Services LLC

• Clinical Social Worker in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.