| Andrew John Larsen, LCSW | |
|
405 Edgewood Dr, Providence, UT 84332-9471 | |
| (435) 233-4417 | |
| Not Available |
| Full Name | Andrew John Larsen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 405 Edgewood Dr, Providence, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720590383 | NPI | - | NPPES |
| 000055266 | Other | UT | MEDICARE PIN |
| 8760003008007 | Medicaid | UT | |
| 260022408 | Other | UT | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10834398-3501 (Utah) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew John Larsen, LCSW 405 Edgewood Dr, Providence, UT 84332-9471 Ph: (435) 233-4417 | Andrew John Larsen, LCSW 405 Edgewood Dr, Providence, UT 84332-9471 Ph: (435) 233-4417 |
Mandy Wilcox, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 169 W 100 N, Providence, UT 84332 Phone: 435-764-0421 | |
Michael Bodrero, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 S Main St # B101, Providence, UT 84332 Phone: 435-512-2275 | |
Rebecca Anne King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 225 Stonehenge Cir, Providence, UT 84332 Phone: 801-718-3987 | |
Mckensie Bartholomew, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 W Spring Creek Pkwy, Providence, UT 84332 Phone: 435-258-7097 | |
Deborah Reed Mcbride, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 277 N Spring Creek Pkwy, Providence, UT 84332 Phone: 435-753-0253 | |
Maria Hunsaker, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 169 N Gateway Dr, Providence, UT 84332 Phone: 435-994-7500 |