Enid Elizabeth Larsen, MSW, PHD, LICSW
Individual provider Active NPI Clinical Social Worker · Rowley, MA
NPI 1699248252 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1699248252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 102287 (MA)
- Practice address
- 162 Dodge Rd
Rowley, MA 01969-2211 - Phone
- (978) 835-9013
- Fax
- (978) 232-3000
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102287 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 102287 | MA | Yes |
Addresses
Primary practice location
162 Dodge Rd
Rowley, MA 01969-2211
Mailing address
162 Dodge Rd
Rowley, MA 01969-2211
Phone (978) 835-9013
Other providers in Rowley, MA
- J. Peter St. Clair, DMD, PC
- Cailin A. James
- Maggie Sullivan Johnson
- Kidshine LLC
- Katherine Kroeger
- Liv Elizabeth Larsen
- Kathryn Ruth Larson
- Michelle Le
- Leader Eye Associates Inc
- James Liebke
All providers in Rowley, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.