MR. TIMOTHY ANDREW LARSON (NPI# 1861784936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861784936 |
| Entity Type | Individual |
| Full Name | MR. TIMOTHY ANDREW LARSON |
| Credential | LICSW |
| Practice Address |
Madigan Army Medical Cetner 9040 Jackson Ave Tacoma WA 98431-1100 |
| Mailing Address |
Madigan Army Medical Ctr 9040 Jackson Ave Tacoma WA 98431-1100 |
| Practice Telephone | 2539666508 |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2019-04-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60177111 | WA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144434242 | Timothy Brad Larson | Orthopaedic Surgery | 2900 N I-35 Ste 200, Denton, TX 76201-5144 | 2007-05-09 |
| 1982630828 | Timothy L Larson | Physician Assistant | 1401 Nwakama St, Marshall, MN 56258-5529 | 2006-06-23 |
| 1093715377 | Timothy A Larson | Physical Therapist | 11 N. Main St., Omak, WA 98841 | 2005-07-28 |
| 1023628708 | Timothy Chester Larson | Behavior Technician | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-08-06 |
| 1447486683 | Timothy Ryan Larson | Case Manager/Care Coordinator | 800 E 6th Ave, Stillwater, OK 74074-3732 | 2009-06-02 |
| 1679782676 | Timothy Stephen Larson | Internal Medicine | 840 E Hill Ave, Moses Lake, WA 98837-2238 | 2007-05-22 |
| 1467594283 | Timothy Larson | Dentist | 1600 Heritage Lndg, Suite 210, Saint Peters, MO 63303-8489 | 2007-02-12 |
| 1326130204 | Timothy George Larson | Internal Medicine | 910 E 26th St, Suite 200, Minneapolis, MN 55404-4526 | 2006-09-29 |
| 1679500433 | Timothy Leigh Larson | Radiology | 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 | 2006-06-27 |
| 1093792269 | Timothy S Larson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2005-12-28 |
| Street Address |
MADIGAN ARMY MEDICAL CETNER 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| 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 |
|---|---|---|---|---|
| 1144827551 | Heidi Elizabeth Hartz | Social Worker | 9040 Jackson Ave Joint Base Lewis-mcchord, Tacoma, WA 98431-0001 | 2020-10-08 |
| 1184241556 | Michele Therese Peyton | Social Worker | 4652 E Q St, Tacoma, WA 98404-4528 | 2020-07-01 |
| 1689293433 | Zowa Saysan Thompson | Social Worker | 4847 S 7th St, Tacoma, WA 98405-1206 | 2020-04-12 |
| 1548898638 | Cimberleigh Mclean | Social Worker | 2367 Tacoma Ave S Ofc 211, Tacoma, WA 98402 | 2020-04-01 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1740826593 | Kerry Ann Shaughnessy | Social Worker | 3516 S 47th St Ste 203, Tacoma, WA 98409-4475 | 2019-11-26 |
| 1669039897 | Katherine Marie Ginn | Social Worker | 1402 S 11th St, Tacoma, WA 98405-3608 | 2019-05-22 |
| 1285112763 | Sheri Lynn Waller | Social Worker | 535 Dock St Ste 108, Tacoma, WA 98402-4629 | 2018-08-06 |
| 1003312612 | Jennifer I. Soto | Social Worker | 1432 N Baltimore St, Tacoma, WA 98406-2702 | 2018-04-03 |
| 1295233955 | Lori A Jensen | Social Worker | 317 M.l.k. Jr Way, Tacoma, WA 98405 | 2018-01-29 |
| Find all providers in TACOMA | ||||
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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.