Chad William Larson, LCSW, CSAC, ICS is a
Social Worker - Clinical based in N Las Vegas, Nevada. Chad William Larson is licensed to practice in Wisconsin (license number 8300-123) and his current practice location is
6900 N Pecos Rd, N Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(027) 791-9000.
NPI number for Chad William Larson is 1588036545 and his current mailing address is 5005 N Piedras St, Attention Wbamc, El Paso, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588036545.
Healthcare Provider's Profile
| Full Name | Chad William Larson |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 6900 N Pecos Rd, N Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588036545
- Provider Enumeration Date: 10/29/2015
- Last Update Date: 01/23/2024
Medical Identifiers
Medical identifiers for Chad William Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588036545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 8300-123 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15603-132 (Wisconsin) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15442-134 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8300-123 (Wisconsin) | 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. Chad William Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Chad William Larson, LCSW, CSAC, ICS
5005 N Piedras St, Attention Wbamc,
El Paso, TX 79920-5002
Ph: (915) 742-6382 | Chad William Larson, LCSW, CSAC, ICS
6900 N Pecos Rd,
N Las Vegas, NV 89086-4400
Ph: (027) 791-9000 |
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