Jennifer L Larson Conti, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7289-123 Issued in WI

Practice address

1716 Fordem Ave
Madison, WI 53704-4604

Phone

(608) 221-3511

Fax

(608) 221-3514

NPI assigned

May 21, 2008

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

Other identifiers 2

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.

• Children'S Service Society of Wisconsin

  • Clinical Social Worker
  • Madison, WI
  • NPI 1528232386
  NPD (past)
• The Rainbow Project Inc

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1861643348
  NPD (past)
• The Rainbow Project, Inc.

  • Community/Behavioral Health Agency
  • Madison, WI
  • NPI 1215177373
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1831356443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 FORDEM AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044604",
            "telephone_number": "608-221-3511",
            "fax_number": "608-221-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON CONTI",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7289-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1831356443",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43703800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Larsen, SLP
• Madeleine M Larsen, OT
• Myah Jayne Larsen, MS, RDN
• Patricia Ann Larsen, RN
• Skylar M Larsen, MD
• Judy Carol Larson-Clements, DENTAL HYGIENIST
• Alexandra M Larson-Osborne
• Pamela C Larson-Stepanek, OTD, OTR/L
• Alexander K Larson, MD
• Barbara Jean Larson, MSRD

• Clinical Social Worker in Madison, WI
• Providers in Madison, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.