Individual provider Active NPI

Kaylene R Larimore, MSW

  • Social Worker
  • Pueblo West, CO
National Provider Identifier
1982379996
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
NLC-0110734 Issued in CO
Practice address
19 E Abarr Dr
Pueblo West, CO 81007-5436
Phone
(435) 817-0155
NPI assigned
Aug 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NLC-0110734 CO Primary

Addresses

Primary practice location

19 E Abarr Dr
Pueblo West, CO 81007-5436

Mailing address

19 E Abarr Dr
Pueblo, CO 81007-5436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NLC-0110734COMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
My Therapy Matters LLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

19 E Abarr Dr
Pueblo West, CO 81007
Phone (435) 817-0155

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1982379996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E ABARR DR",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810075436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E ABARR DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075436",
            "telephone_number": "435-817-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARIMORE",
        "first_name": "KAYLENE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "NLC-0110734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.