Individual provider · Type 1 NPI

Samantha Marie Larson, MSW, LCSW

Clinical Social Worker · Sister Bay, WI

NPI number 1740899285 Active

Practice location

2345 Canterbury Ln
Sister Bay, WI 54234-5602

Fax (608) 270-0467

Mailing address

323 S 18th Ave
Sturgeon Bay, WI 54235-1401

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X131979-121 (WI)
Clinical Social Worker Primary 1041C0700X11314-123 (WI)

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 1740899285

Samantha Marie Larson, MSW, LCSW's National Provider Identifier is 1740899285, issued on Jul 30, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Sister Bay, WI. The record was last updated on Jan 16, 2026.