Individual provider · Type 1 NPI

Rae Larson, LCSW

Clinical Social Worker · Kansas City, MO

NPI number 1174302285 Active

Practice location

7280 NW 87th Ter Ste C
Kansas City, MO 64153-3720

Fax (314) 686-7998

Mailing address

447 Tamarach Dr
Edwardsville, IL 62025-5243

Other practice locations

  • 2501 Chatham Rd Ste N, Springfield, IL 62704-4188 · (314) 686-7997

Specialties and licenses

TaxonomyCodeLicense
School Social Worker 1041S0200X2600972 (IL)
Clinical Social Worker Primary 1041C0700XNone listed
Social Worker 104100000X20220002656 (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 1174302285

Rae Larson, LCSW's National Provider Identifier is 1174302285, issued on Sep 27, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kansas City, MO. The record was last updated on Aug 23, 2024.