NPIMap

Organization Active NPI

Kurt Larose MSW LCSW

  • Clinical Social Worker
  • Perryville, MO
National Provider Identifier
1972914505
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9297 Issued in FL
Legal business name
KURT LAROSE MSW LCSW
Practice address
1701 E Harvest Cir
Perryville, MO 63775-9330
Phone
(850) 545-2886
NPI assigned
May 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Authorized official

Name
Mr. Kurt Dominick Larose, LCSW LICSWNPI 1023221967
Title
Sole Proprietor
Phone
(850) 545-2886

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW9297 FL Primary
Adult Mental Health Clinic/Center 261QM0850X LC50081569 DC

Addresses

Primary practice location

1701 E Harvest Cir
Perryville, MO 63775-9330

Mailing address

1701 E Harvest Cir
Perryville, MO 63775-9330
Phone (850) 545-2886

Other identifiers 1

IdentifierTypeStateIssuer
12243893OtherFLCAQH

Other names 1

  • (TalkifUwant.com) Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645660800000",
    "number": "1972914505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 E HARVEST CIR",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637759330",
            "telephone_number": "850-545-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 E HARVEST CIR",
            "city": "PERRYVILLE",
            "state": "MO",
            "postal_code": "637759330",
            "telephone_number": "850-545-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT LAROSE MSW LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A",
        "authorized_official_last_name": "LAROSE",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "DOMINICK",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "850-545-2886",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9297",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "DC",
            "license": "LC50081569",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12243893",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(TalkifUwant.com)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perryville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.