Individual provider · Type 1 NPI

Larissa Marie Didriksen, LCSW

Clinical Social Worker · Richmond, IL

NPI number 1790243756 Active

Practice location

9716 US Highway 12
Richmond, IL 60071-9253

Mailing address

W1037 Aralia Rd
Genoa City, WI 53128-1574

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149010221 (IL)

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…

2 other providers at this address

About NPI 1790243756

Larissa Marie Didriksen, LCSW's National Provider Identifier is 1790243756, issued on Mar 8, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Richmond, IL. The record was last updated on Oct 9, 2019.