MS. ELIZABETH ANN LARSEN (NPI# 1023155199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023155199 |
| Entity Type | Individual |
| Full Name | MS. ELIZABETH ANN LARSEN |
| Credential | LCSW |
| Practice Address |
720 Wood St Eureka CA 95501-4413 |
| Practice Telephone | 7072682900 |
| Practice Fax Number | 7074415579 |
| Mailing Telephone | 7072682900 |
| Mailing Fax Number | 7074415579 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS18462 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740757632 | Elizabeth Larsen | Acupuncturist | 1308 Nw 20th Ave Ste 10, Portland, OR 97209-1607 | 2018-10-29 |
| 1053461293 | Elizabeth Larsen | Counselor | 1144 Coldspring Rd, Elgin, IL 60120-5102 | 2007-01-11 |
| 1386243160 | Elizabeth Larsen | Registered Nurse | 500 W Fort St, Boise, ID 83702-4598 | 2020-10-22 |
| 1265892210 | Elizabeth Larsen | Developmental Therapist | 207 Larkspur St, Ponderay, ID 83852-5011 | 2016-03-03 |
| 1013393818 | Elizabeth M Larsen | Physical Therapist | 2775 Schoenersville Rd, Bethlehem, PA 18017-7307 | 2015-08-04 |
| 1649690181 | Elizabeth Rose Larsen | Anesthesiology | 1959 Ne Pacific St, Box 356540, Seattle, WA 98195-6540 | 2014-04-23 |
| 1548334592 | Elizabeth S Larsen | Physician Assistant | 1 Medical Center Dr, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756-1000 | 2006-11-20 |
| 1174603856 | Elizabeth A Larsen | Social Worker | 1900-8th Ave. S.e., Minot, ND 58701 | 2006-10-16 |
| 1073605226 | Elizabeth Joyceann Larsen | Occupational Therapist | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-09-28 |
| 1790725810 | Elizabeth L Larsen | Nurse Anesthetist, Certified Registered | 1455 Saint Francis Ave, Shakopee, MN 55379-3374 | 2006-06-07 |
| Street Address |
720 WOOD ST |
| City | EUREKA |
| State | CA |
| Zip Code | 95501-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780646521 | Janese Charpentier | Nurse Practitioner | 720 Wood St, Eureka, CA 95501-4413 | 2006-04-05 |
| 1215537998 | Angela Dawn Tierno Blackthorne | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-30 |
| 1164029534 | Laura Tansley Conger | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1679170120 | Robert William Williams | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-07 |
| 1144827049 | James Rager Anderson | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-10-04 |
| 1710593173 | Jody Swan | Student in an Organized Health Care Education/Training Program | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-21 |
| 1669088340 | Eric Hall | Community Health Worker | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-18 |
| 1073127403 | Christiane Desir | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-09-02 |
| 1093325508 | Edmund Sanez Lao | Registered Nurse | 720 Wood St, Eureka, CA 95501-4413 | 2020-08-09 |
| 1730799180 | Robert Christopher Amerman | Counselor | 720 Wood St, Eureka, CA 95501-4413 | 2020-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795919 | Eric Meyer Goldsmith | Physical Therapist | 2306 Dean Street, Eureka, CA 95501 | 2020-03-18 |
| 1609406404 | Humboldt County Behavioral Health | Community/Behavioral Health | 638 W Clark St., Bldg. E, Eureka, CA 95501 | 2020-01-21 |
| 1740831767 | Jacqueline Renee Coghill | Nurse Practitioner | Waterfront Recovery Services, 2413 2nd St, Eureka, CA 95501 | 2019-09-20 |
| 1982177275 | Jenny Bugnacki | Case Manager/Care Coordinator | 721 Wood St, Eureka, CA 95501 | 2019-01-09 |
| 1073023107 | Humboldt Recovery Center Inc. | Substance Abuse Rehabilitation Facility | 1303 11th St, Eureka, CA 95501 | 2017-10-03 |
| 1730698283 | Gabriel Holtski | Naturopath | 1632 Broadway, Suite #252, Eureka, CA 95501 | 2017-09-27 |
| 1164951851 | Redwood Community Services, Inc. | Foster Care Agency | 2426 6th St, Eureka, CA 95501 | 2017-06-07 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1750839510 | Sierra Marie Evers-hellmich | Physical Medicine & Rehabilitation | 2103 Myrtle Avenue, Eureka, CA 95501 | 2016-09-21 |
| 1558720623 | Jennifer Vu | Behavioral Analyst | 730 7th St Ste A, Eureka, CA 95501 | 2016-02-18 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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|---|---|---|---|---|
| 1598365389 | Camila Alaasam | Social Worker | 2145 Myrtle Ave # 3323, Eureka, CA 95501-3323 | 2020-10-29 |
| 1801493804 | Autumn Benedetti | Social Worker | 43 Baron Ln, Eureka, MT 59917-9021 | 2020-10-03 |
| 1588159305 | Raquel Elizabeth Lee | Social Worker | 3826 E St, Eureka, CA 95503-6065 | 2018-06-25 |
| 1134611247 | Kathleen Lowder | Social Worker | 525 2nd St Ste 300, Eureka, CA 95501-0488 | 2018-06-04 |
| 1801317052 | Lisa Okeefe | Social Worker | 381 Bayside Road, Eureka, CA 95501-0299 | 2017-06-28 |
| 1639606114 | Nicole Pina | Social Worker | 710 E St, Eureka, CA 95501-1865 | 2017-05-16 |
| 1033651922 | Narum Clinical Services | Social Worker | 930 3rd St, Suite 201, Eureka, CA 95501 | 2016-11-09 |
| 1710331251 | Rita Zito | Social Worker | 3172 Walford Ave Ste 5, Eureka, CA 95503-4898 | 2016-04-21 |
| 1679988042 | Amanda Marie Gilman | Social Worker | 8 Hilltop Village Center Dr, Eureka, MO 63025-1105 | 2014-06-24 |
| 1225307259 | Amy Labovitz Cirincione | Social Worker | 524 5th St, Eureka, CA 95501-1033 | 2011-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.