Individual provider Active NPI

Barry Joseph Larson

  • Clinical Social Worker
  • Maplewood, MO
National Provider Identifier
1740141985
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025045098 Issued in MO
Practice address
3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917
Phone
(314) 704-8890
NPI assigned
Nov 18, 2025
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025045098 MO Primary

Addresses

Primary practice location

3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917

Mailing address

3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917
Phone (314) 781-7900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204002601 MO Practitioner - Clinical Social Worker 6406862168 Reassigns benefits to 1 organization
Practice locations: Maplewood, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3155 Sutton Blvd
Suite 201
Maplewood, MO 63143-3917
Phone (314) 881-5512

608 Forrester Dr
Manchester, MO 63011-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025045098MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges Community Support Services CurrentSince Jul 27, 1989 Accepting new patients

Locations

3155 Sutton Blvd
Ste 201
Saint Louis, MO 63143
Phone (314) 704-8890

Organizations & group practices 3

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": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1740141985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 SUTTON BLVD STE 201",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631433917",
            "telephone_number": "314-781-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 SUTTON BLVD STE 201",
            "city": "MAPLEWOOD",
            "state": "MO",
            "postal_code": "631433917",
            "telephone_number": "314-704-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "BARRY",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025045098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MO

Sources for this page

Verify at the official NPI Registry.