Barry Joseph Larson
Individual provider Active NPI Clinical Social Worker · Maplewood, MO
NPI 1740141985 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1740141985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2025045098 (MO)
- Practice address
- 3155 Sutton Blvd Ste 201
Maplewood, MO 63143-3917 - Phone
- (314) 704-8890
- NPI assigned
- Nov 18, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251204002601 | MO | Practitioner - Clinical Social Worker | 6406862168 |
Reassigns benefits to 1 organization Practice locations: Maplewood, MO |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025045098 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridges Community Support Services | Current |
Accepting new patients |
Locations
3155 Sutton Blvd
Ste 201
Saint Louis, MO 63143
Phone (314) 781-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2025045098 | MO | Yes |
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
Other providers in Maplewood, MO
- Rebecca Gould Karlen
- Jonathan J Kidd
- Gregory Foster Kleinschmidt
- Riley Marie Krus
- Edward Kutsar
- Rebekah May Larson
- Maureen E Lindsey
- Tina Marie Macklin
- Gabrielle Maness
- Jerrett Marcuson
All providers in Maplewood, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.