VICKIE MARIE LARSON (NPI# 1821548728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821548728 |
| Entity Type | Individual |
| Full Name | VICKIE MARIE LARSON |
| Credential | MSW LCSW |
| Practice Address |
1538 Queen Ave Se Albany OR 97322-6687 |
| Mailing Address |
Po Box 494 Detroit OR 97342-0494 |
| Practice Telephone | 3603562508 |
| Mailing Telephone | 5035096223 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L7637 | OR | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LICENSED CLINICAL SOCIAL WORKER LICENSE # | L7637 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1118 Oak St Se, Salem, OR 973014019 | 5035854949 | 5035854965 |
| 742 Hawthorne Ave Ne, Salem, OR 973014675 | 3603562508 |
| Street Address |
1538 QUEEN AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97322-6687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083109748 | Benjamin Voth | Counselor | 1858 Grand Prairie Rd Se, Albany, OR 97322 | 2018-06-26 |
| 1033534748 | Willamette Orthotics & Prosthetics, LLC | Durable Medical Equipment & Medical Supplies | 1630 9th Ave Se, Albany, OR 97322 | 2014-03-04 |
| 1699035998 | Morgan William Brown | Behavioral Analyst | 1885 21 St Ave Se Apt 44, Albany, OR 97322 | 2012-05-21 |
| 1780986059 | Gene Vang | Pharmacist | 1330 Goldfish Farm Rd Se, Albany, OR 97322 | 2010-11-18 |
| 1427362912 | Kate Fredrickson | Speech-Language Pathologist | 5353 Columbus St. Se, Albany, OR 97322 | 2010-07-27 |
| 1689906455 | Sandy Janiszewski | Registered Nurse | 1970 4th Ave. Se, Ste 120, Albany, OR 97322 | 2010-02-04 |
| 1841527066 | Karina Leonore Towers | Speech-Language Pathologist | 5353 Columbus Street Se, Albany, OR 97322 | 2009-11-09 |
| 1548497951 | T.c.s. Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3012 Se Oakwood Avenue, Albany, OR 97322 | 2009-06-12 |
| 1790932952 | Ramel C Romero | Physical Therapist | 5353 Colombus St Se, Albany, OR 97322 | 2008-08-19 |
| 1023275492 | Michael James | Hearing Instrument Specialist | 1610 9th Av. Se, Albany, OR 97322 | 2008-05-21 |
| Find all providers in zip 97322 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790195 | Emily Phyllis Wood | Social Worker | 6 Automation Ln Ste 112/113, Albany, NY 12205-1668 | 2020-11-03 |
| 1457977043 | Latoya Palmer | Social Worker | 742 S Pearl St, Albany, NY 12202-1016 | 2020-06-19 |
| 1982226627 | Camille Hehn | Social Worker | 527 Bradford St, Albany, NY 12206-1432 | 2020-05-16 |
| 1467073916 | Ashley Mary Millington | Social Worker | 20 Bauer Dr, Albany, NY 12205-5002 | 2020-05-06 |
| 1710512264 | Ashley Nicole Hall | Social Worker | 3418 Aristedes Rd, Albany, GA 31721-7745 | 2020-03-05 |
| 1497380133 | Diane Hamon | Social Worker | 2516 Dawson Rd Ste D, Albany, GA 31707-2304 | 2020-03-03 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1588229017 | Lachandra Johnson Fields | Social Worker | 2411 Bettys Dr, Albany, GA 31705-4303 | 2019-05-09 |
| 1245796580 | Amanda Ricciardi | Social Worker | 1229 Central Ave, Albany, NY 12205-5340 | 2019-02-12 |
| 1538649785 | Courtney Kenneally Mazzone | Social Worker | 435 New Karner Rd Ste 17, Albany, NY 12205-5841 | 2018-08-17 |
| Find all providers in ALBANY | ||||
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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.