IndividualActive
A. Larsen, L.C.S.W.
NPI 1720264690 · Clinical Social Worker · Mayfield, UT
Provider details
- NPI number
- 1720264690
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- Yes
- License
- LCS12724 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
133 N 100 W
Mayfield, UT 84643-0209
Phone: (209) 669-2880
Fax: (435) 528-5394
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 209
Mayfield, UT 84643-0209
Registry dates
- Enumerated
- 2008-01-10
- Last updated
- 2022-11-10
- Certified
- 2022-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.