| John David Larsen, LCSW | |
|
75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 | |
| (801) 777-3497 | |
| Not Available |
| Full Name | John David Larsen |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 75th Medical Group, Hill Afb, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013154442 | NPI | - | NPPES |
| 870430116009 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4959333-3501 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| John David Larsen, LCSW 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Ph: (801) 777-3497 | John David Larsen, LCSW 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Ph: (801) 777-3497 |
Alisha Delacruz, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7319 Balmer St # 546, Hill Afb, UT 84056 Phone: 801-777-3497 | |
Kelly Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75 Mdg, Mental Health Clinic, 7309 Balmer Street, Bldg 545, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Derek R Larson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Stephanie Mullins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7321 Balmer St Bldg 570, Hill Afb, UT 84056 Phone: 801-777-7909 | |
Dr. Betsy Nicholson Callahan, DSW LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Lifeskills Support Ctr, Hill Air Force Base, Hill Afb, UT 84056 Phone: 801-777-7909 Fax: 801-777-4490 | |
Julie A Pinchak, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7329 11th St Bldg 547, 75 Mdos/sgohf, Hill Afb, UT 84056 Phone: 801-777-3497 Fax: 801-586-4011 |