MARY F LARSON (NPI# 1932368420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932368420 |
| Entity Type | Individual |
| Full Name | MARY F LARSON |
| Credential | LCSW |
| Practice Address |
2810 Whistler St West Melbourne FL 32904-7488 |
| Practice Telephone | 3215068524 |
| Mailing Telephone | 3215068524 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW 8059 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162295 | Mary Kathryn Ann Larson | Nurse Practitioner | 976 S 1925 W, Orem, UT 84059-2306 | 2020-07-28 |
| 1619133832 | Mary F Larson | Dietitian, Registered | 306 4th Street North, Fargo, ND 58102-4820 | 2008-08-07 |
| 1225217342 | Mary Larson | Case Manager/Care Coordinator | 600 Colonel Dr, Garland, TX 75043-2302 | 2007-10-25 |
| 1326524695 | Mary S Larson | Counselor | 8616 Northern Ave, Rockford, IL 61107-5309 | 2018-07-19 |
| 1194279596 | Mary Frances Larson | Nurse Practitioner | 1200 6th Ave N, Saint Cloud, MN 56303-2735 | 2016-08-15 |
| 1083952022 | Mary Louise Larson | Occupational Therapist | 425 Davis St, Hammond, WI 54015-9615 | 2013-01-25 |
| 1578823357 | Mary M Larson | Massage Therapist | 120 Elk Ave., Crested Butte, CO 81224 | 2012-05-25 |
| 1043346687 | Mary St. John Larson | Specialist | 2301 Park Ave, #209, Orange Park, FL 32073-5565 | 2007-02-26 |
| 1225189608 | Mary E. Larson | Nurse Practitioner | 10277 N 92nd St, Suite 101, Scottsdale, AZ 85258-4564 | 2007-01-14 |
| 1639283484 | Mary B. Larson | Occupational Therapist | 3915 Golden Valley Rd, Minneapolis, MN 55422-4249 | 2006-08-18 |
| Street Address |
2810 WHISTLER ST |
| City | WEST MELBOURNE |
| State | FL |
| Zip Code | 32904-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063066512 | Shepherd's Heart Ministries | Counselor | 900 S Wickham Rd, Melbourne, FL 32904 | 2019-08-01 |
| 1588138663 | Nicholle C Rothengass | Physician Assistant | 2263 W New Haven Ave # 350, W Melbourne, FL 32904 | 2019-01-11 |
| 1114407020 | Natalie Havkin | Speech-Language Pathologist | 250 S Wickham Rd., Melbourne, FL 32904 | 2018-08-20 |
| 1184119299 | Marni B Simon | Speech-Language Pathologist | 565 Acacia Ave, Melbourne Village, FL 32904 | 2018-06-30 |
| 1821588625 | Walden Psychological Services, LLC | Psychologist | 3400 Willowwood Dr, Melbourne, FL 32904 | 2018-05-16 |
| 1598276271 | Donetta Gwin Reynolds | Early Intervention Provider Agency | 764 Triples Crown Lane, West Melbourne, FL 32904 | 2017-10-20 |
| 1598205221 | Marathon Health, LLC | General Practice | 2550 Wingate Boulevard, C/o Brevard Wellcare- South, West Melbourne, FL 32904 | 2017-02-28 |
| 1366875387 | Cancer Center of Melbourne LLC | Clinic/Center | 415 S. Wickham Rd., Melbourne, FL 32904 | 2013-08-13 |
| 1558704312 | Sandra Suzanne Borthwick | Social Worker | 569 Sylvia Rd, Melbourne, FL 32904 | 2013-04-11 |
| 1396983607 | Genesis | Skilled Nursing Facility | 2653 Reflections Pl, W. Melbourne, FL 32904 | 2009-01-23 |
| Find all providers in zip 32904 | ||||
| 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 |
|---|---|---|---|---|
| 1962035907 | Jessica Marie Lafontaine | Social Worker | 750 Fiddleleaf Cir, West Melbourne, FL 32904-8148 | 2020-02-18 |
| 1477018331 | Diliana Polanco | Social Worker | 1082 Bainbury Ln, West Melbourne, FL 32904-8026 | 2019-02-05 |
| 1982168365 | Kristine Savoury | Social Worker | 1256 Alaqua Way, West Melbourne, FL 32904-8769 | 2019-01-30 |
| 1891279824 | Valerie Louise Dripchak | Social Worker | 4534 Caladium Cir, West Melbourne, FL 32904-8605 | 2018-09-15 |
| 1801410170 | Blue Dandelion Integrative Therapy, LLC | Social Worker | 1082 Bainbury Ln, West Melbourne, FL 32904-8026 | 2020-06-02 |
| 1649432592 | Laura L Dion | Social Worker | 2340 Dairy Rd, Suite 104, West Melbourne, FL 32904 | 2008-07-01 |
| 1740453380 | Lindsay Logan | Social Worker | 2020 Commerce Dr, West Melbourne, FL 32904-2335 | 2008-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679303 | Kamarie Lee Larson | Social Worker | 913 Gulf Breeze Pkwy Ste 26b, Gulf Breeze, FL 32561-4731 | 2020-11-08 |
| 1023619772 | Nichole Goff | Social Worker | 12151 Waterstone Ct Apt 826, Orlando, FL 32825-7035 | 2020-11-07 |
| 1356942262 | Shirley Roseman | Social Worker | 1450 E Sample Rd Apt 101, Pompano Beach, FL 33064-6267 | 2020-11-06 |
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1679174726 | Violett Counseling & Consulting Services LLC | Social Worker | 30 Wisteria Dr, Ormond Beach, FL 32176-2408 | 2020-11-05 |
| 1336740422 | Marissa Pinto | Social Worker | 3642 Eldron Ave, North Port, FL 34286-7453 | 2020-11-04 |
| 1710588991 | Mario Jesus Noguera | Social Worker | 18179 Nw 73rd Ave, Hialeah, FL 33015-6198 | 2020-11-04 |
| 1801497185 | Andrey Davydov | Social Worker | 3800 N Hills Dr Apt 106, Hollywood, FL 33021-2541 | 2020-11-04 |
| 1902407299 | Beverly Diane Sweeting | Social Worker | 10961 Sw Ivory Springs Ln, Port St Lucie, FL 34987-7710 | 2020-11-04 |
| 1174124622 | Cardinal Counseling Services, LLC | Social Worker | 2161 16th Ave Sw, Naples, FL 34117-4338 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
| City | WEST MELBOURNE |
| Zip Code | 32904 |
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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.