Michael A Larson, LICSW | |
1212 E College Dr, Marshall, MN 56258-2010 | |
(507) 532-3236 | |
(507) 532-0240 |
Full Name | Michael A Larson |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 10 Years |
Location | 1212 E College Dr, Marshall, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154829497 | NPI | - | NPPES |
20823 | Other | MN | LICSW LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20823 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Western Mental Health Center, Inc. | 7315856119 | 18 |
Entity Name | Western Mental Health Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982613311 PECOS PAC ID: 7315856119 Enrollment ID: O20040226000053 |
Mailing Address | Practice Location Address |
---|---|
Michael A Larson, LICSW 1212 E College Dr, Marshall, MN 56258-2010 Ph: (507) 532-3236 | Michael A Larson, LICSW 1212 E College Dr, Marshall, MN 56258-2010 Ph: (507) 532-3236 |
Ms. Karen Marie Jirovec, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-3350 | |
Mr. Brian David Boersma, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 | |
Amy King, LPCC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Kaycee Polite, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 | |
Lorraine Kendall, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 | |
Kari Schwecke, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1212 E College Dr, Marshall, MN 56258 Phone: 507-532-3236 Fax: 507-532-0240 |