Cheris Larson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.025590 Issued in IL

Practice address

1105 W Front St
Bloomington, IL 61701-4853

Phone

(309) 827-0377

Fax

(309) 829-8877

NPI assigned

Aug 6, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Project Oz

  • Adolescent and Children Mental Health Clinic/Center
  • Bloomington, IL
  • NPI 1336979137
  NPD Authorized official

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1831929637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014853",
            "telephone_number": "309-827-0377",
            "fax_number": "309-829-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 W FRONT ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014853",
            "telephone_number": "309-827-0377",
            "fax_number": "309-829-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "CHERIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.025590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Lanzerotte, MD
• Brian M Larimore, MSW
• Kendra Larimore
• Joanne M Larow, DO
• Heidi Larsen, MSW, LCSW
• Maribeth Lartz
• Sara Lary, DO
• Robert Lauder, DDS, MS
• Laura C. Randolph MD SC
• Jamie Laurson

• Clinical Social Worker in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.