IndividualActive
Andrea Larson, L.C.S.W.
NPI 1508828039 · Clinical Social Worker · Midvale, UT
Provider details
- NPI number
- 1508828039
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Female
- Sole proprietor
- No
- License
- 345808-3501 (UT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
7575 S 9th E
Midvale, UT 84047-5100
Phone: (801) 208-1031
Fax: (801) 208-1987
Approximate (ZIP-level) locationGet directions
Mailing address
11410 Cherry Hill Dr
Sandy, UT 84094-5675
Registry dates
- Enumerated
- 2006-04-03
- Last updated
- 2009-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.