TRAVIS CODY LARSEN (NPI# 1386119238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386119238 |
| Entity Type | Individual |
| Full Name | TRAVIS CODY LARSEN |
| Practice Address |
360 S State St Ste 103 Orem UT 84058-5745 |
| Mailing Address |
729 W 1450 S Springville UT 84663-4710 |
| Practice Telephone | 8013771117 |
| Mailing Telephone | 4355905644 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
7420337-3501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538796040 | Travis Larsen | Student in an Organized Health Care Education/Training Program | 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033-1029 | 2020-03-25 |
| Street Address |
360 S STATE ST STE 103 |
| City | OREM |
| State | UT |
| Zip Code | 84058-5745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696782 | Kaley Brooksby | Behavior Technician | 1140 W 1130, Orem, UT 84058 | 2020-10-13 |
| 1679042303 | Carolyn Mott Harvey | Counselor | 276 E 905 S, Orem, UT 84058 | 2018-11-26 |
| 1902371826 | Jennifer Morgan Ellefsen | Nurse Practitioner | 800 W University Pkwy # Ms 200, Orem, UT 84058 | 2018-10-07 |
| 1508340944 | Eye Pros of Orem | Optometrist | 366 E. University Parkway, Orem, UT 84058 | 2018-09-21 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1407338288 | Jecel Kevin Mendoza | Case Manager/Care Coordinator | 1109 W 1390 S, Orem, UT 84058 | 2018-08-29 |
| 1407368509 | Kaitlyn Winget | Specialist/Technologist | 800 W. University Pkwy, Dept of Athletics- Ms 104, Orem, UT 84058 | 2017-10-30 |
| 1871010454 | Linda S George | Behavior Technician | 1875 S Geneva Road, Orem, UT 84058 | 2017-08-24 |
| 1811435951 | Rhea V. Perry | Massage Therapist | 35 S 400 W, Orem, UT 84058 | 2017-02-09 |
| 1457735425 | John Thomas Garlock | Behavioral Analyst | 1140 W 1130 S Bld B, Orem, UT 84058 | 2015-07-19 |
| Find all providers in zip 84058 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953642 | Taija Mecham | Social Worker | 754 S 400 E Ste 201, Orem, UT 84097-6344 | 2020-05-08 |
| 1699301754 | Julie Kristine Chacon | Social Worker | 7 Sage Dr, Orem, UT 84097-5625 | 2020-03-20 |
| 1497385728 | Kaylem Ephraim Arteaga | Social Worker | 1838 S 180 W, Orem, UT 84058-7476 | 2020-01-26 |
| 1124684709 | Meagan Lavelle Brooks | Social Worker | 36 S 400 W Ste 102, Orem, UT 84058-5359 | 2019-05-19 |
| 1053878975 | Keith Weaver | Social Worker | 314 W 1700 S, Orem, UT 84058-7542 | 2019-02-27 |
| 1154890051 | Emily Cooper | Social Worker | 835 W 400 N, Orem, UT 84057-4566 | 2018-11-20 |
| 1417459892 | Caroline Elizabeth Conley | Social Worker | 449 N Orem Blvd, Orem, UT 84057-8813 | 2018-03-01 |
| 1619418068 | Ashliegh E Baldwin | Social Worker | 1875 S State St, Orem, UT 84097-8078 | 2017-03-18 |
| 1073060141 | Rachel Thornton | Social Worker | 276 E 950 S Ste 200, Orem, UT 84058-7054 | 2016-09-07 |
| 1821453499 | Juliann Ogilvie | Social Worker | 1704 S Main St, Orem, UT 84058-7406 | 2015-12-23 |
| Find all providers in OREM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.