Larissa Marie Didriksen, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Richmond, Illinois. Her current practice location is
9716 Us Highway 12, Richmond, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 581-8131.
Larissa Marie Didriksen is licensed to practice in Illinois (license number 149010221) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790243756.
Healthcare Provider's Profile
Full Name | Larissa Marie Didriksen |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 9716 Us Highway 12, Richmond, Illinois |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Larissa Marie Didriksen attended and graduated from in
NPI Data:
- NPI Number: 1790243756
- Provider Enumeration Date: 03/08/2019
- Last Update Date: 10/09/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Larissa Marie Didriksen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790243756 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 149010221 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Larissa Marie Didriksen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Larissa Marie Didriksen, LCSW W1037 Aralia Rd, Genoa City, WI 53128-1574 Ph: (262) 208-0078 | Larissa Marie Didriksen, LCSW 9716 Us Highway 12, Richmond, IL 60071-9253 Ph: (815) 581-8131 |
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