Mikal Larsen, LCSW is a
Social Worker - Clinical based in West Hartford, Connecticut. Mikal Larsen is licensed to practice in * (Not Available) (license number ) and her current practice location is
97 South St Ste 105, West Hartford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(860) 461-0504.
NPI number for Mikal Larsen is 1679103519 and her current mailing address is 97 South St Ste 105, West Hartford, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679103519.
Healthcare Provider's Profile
| Full Name | Mikal Larsen |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
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| Location | 97 South St Ste 105, West Hartford, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1679103519
- Provider Enumeration Date: 01/20/2020
- Last Update Date: 04/20/2022
Medical Identifiers
Medical identifiers for Mikal Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679103519 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Mikal Larsen 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 |
|---|
Mikal Larsen, LCSW
97 South St Ste 105,
West Hartford, CT 06110-1964
Ph: (860) 461-0504 | Mikal Larsen, LCSW
97 South St Ste 105,
West Hartford, CT 06110-1964
Ph: (860) 461-0504 |
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