Mr David Phelps Larson, is a
Social Worker - Clinical based in Puyallup, Washington. Mr David Phelps Larson is licensed to practice in * (Not Available) (license number ) and his current practice location is
325 E Pioneer, Puyallup, Washington. He can be reached at his office (for appointments etc.) via phone at
(253) 697-8452.
NPI number for Mr David Phelps Larson is 1932309762 and his current mailing address is 325 E Pioneer, Puyallup, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1932309762.
Healthcare Provider's Profile
| Full Name | Mr David Phelps Larson |
|---|
| Gender | Male |
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| Speciality | Social Worker - Clinical |
|---|
| Location | 325 E Pioneer, Puyallup, Washington |
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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: 1932309762
- Provider Enumeration Date: 07/19/2007
- Last Update Date: 06/13/2013
Medical Identifiers
Medical identifiers for Mr David Phelps Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932309762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | CP00006419 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00006419 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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. Mr David Phelps 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 |
|---|
Mr David Phelps Larson,
325 E Pioneer,
Puyallup, WA 98372-3265
Ph: (253) 697-8452 | Mr David Phelps Larson,
325 E Pioneer,
Puyallup, WA 98372-3265
Ph: (253) 697-8452 |
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