Elizabeth A Larsen, LICSW | |
1900 8th Ave Se, Minot, ND 58701-4935 | |
(701) 857-5998 | |
(701) 857-5022 |
Full Name | Elizabeth A Larsen |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 31 Years |
Location | 1900 8th Ave Se, Minot, North Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174603856 | NPI | - | NPPES |
19101 | Medicaid | ND |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1853 (North Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Trinity Hospitals | Minot, ND | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Trinity Health | 7911816020 | 277 |
Entity Name | Trinity Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
Mailing Address | Practice Location Address |
---|---|
Elizabeth A Larsen, LICSW Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Elizabeth A Larsen, LICSW 1900 8th Ave Se, Minot, ND 58701-4935 Ph: (701) 857-5998 |
Mr. James Lein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1705 4th Ave Nw, Minot, ND 58703 Phone: 701-839-0474 Fax: 701-839-0713 | |
Mr. Orvin G. Lommen, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: #9 Cortland Drive, Minot, ND 58703 Phone: 701-240-7944 Fax: 701-857-8555 | |
Kayla Elaine Durand-goheen, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 Main St S Ste 201, Minot, ND 58701 Phone: 701-355-6800 | |
Susan E Stein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 600 22nd Ave Nw, Minot, ND 58703 Phone: 701-837-6508 Fax: 701-858-1839 | |
Mrs. Laura Howery Siercks, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1015 S Broadway, Suite 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 | |
Brian Grant Kay, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 194 Missile Ave, Minot, ND 58705 Phone: 701-723-5527 | |
Hayley Marie Alkhafaji, LMSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1015 S Broadway Ste 18, Minot, ND 58701 Phone: 701-857-8500 Fax: 701-857-8555 |