Individual provider · Type 1 NPI
Kurt Dominick Larose, LCSW, LICSW
Clinical Social Worker · Perryville, MO
Practice location
12 N Kings Hwy Ste 101
Perryville, MO 63775-1367
Fax (573) 547-2963
Mailing address
12 N Kingshighway St Ste 101
Perryville, MO 63775-1367
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | SW9297 (FL) |
| Clinical Social Worker | 1041C0700X | LC50081569 (DC) |
| Clinical Social Worker Primary | 1041C0700X | 2020023042 (MO) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1023221967
Kurt Dominick Larose, LCSW, LICSW's National Provider Identifier is 1023221967, issued on May 7, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Perryville, MO. The record was last updated on Feb 24, 2022.