Individual provider · Type 1 NPI
Philip Reed Larsen Jr., LICSW, LCSW
Clinical Social Worker · Santa Fe, NM
Practice location
1229 S Saint Francis Dr Ste B
Santa Fe, NM 87505-4052
Mailing address
PO Box 2139
Santa Cruz, NM 87567-2139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C-09948 (NM) |
| Clinical Social Worker | 1041C0700X | 110336 (MA) |
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 1497781496
Philip Reed Larsen Jr., LICSW, LCSW's National Provider Identifier is 1497781496, issued on Jun 23, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Santa Fe, NM. The record was last updated on Oct 12, 2018.