Tonya B Larson, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00645 Issued in IA

Practice address

409 Kenyon Rd
Suite C
Fort Dodge, IA 50501-5718

Phone

(515) 573-3138

Fax

(515) 573-3130

NPI assigned

Mar 26, 2008

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

Enrolled in IA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Lutheran Family Service

  • Voluntary or Charitable Agency
  • Fort Dodge, IA
  • NPI 1316059496
  Medicare reassignment NPD

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1922270388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 KENYON RD",
            "address_2": "SUITE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 KENYON RD",
            "address_2": "SUITE C",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505015718",
            "telephone_number": "515-573-3138",
            "fax_number": "515-573-3130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TONYA",
        "middle_name": "B",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "00645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra K Ladd, N.P.
• Alexis Miranda Laing
• Jason Matthew Laird, D.C.
• Ellen Anne Lantz, RD, LD
• Andrea Lois Larson, ARNP
• Lori Lawman, CADC
• Amber Lawrence
• Michael W Lee, MD
• Sang O Lee, M.D
• Xieng Khan Lee, D.D.S.

• Clinical Social Worker in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Clinical Social Worker in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.