Matthew Larson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW--33509 Issued in ID

Practice address

16 12TH Ave S
Suite 201
Nampa, ID 83651-3936

Phone

(208) 489-6866

Fax

(208) 475-6025

NPI assigned

Jan 9, 2013

Sex

Male

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 ID

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• MRL Counseling LLC

  • Community/Behavioral Health Agency
  • Boise, ID
  • NPI 1689109613
  Medicare reassignment NPD Authorized official
• Renewed Hope Counseling and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Meridian, ID
  • NPI 1861893661
  Medicare reassignment

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1982941027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550N CRESTMONT DR A",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422177",
            "telephone_number": "208-288-4200",
            "fax_number": "208-288-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 12TH AVE S",
            "address_2": "SUITE 201",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513936",
            "telephone_number": "208-489-6866",
            "fax_number": "208-475-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW--33509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Emma Laniado
• Conner Lanier, PA
• Brenna Joy Lankow
• Desirae Marie Laporta, OTR/L
• Meredith A Larsen, DO
• Vicki J Larson
• Madelena Larue
• Bari Laskow, MD
• Emma Anne Lattin
• John Lattin, MD

• Clinical Social Worker in Nampa, ID
• Providers in Nampa, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.