JENNIFER LAUREN LARSEN (NPI# 1396394649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396394649 |
| Entity Type | Individual |
| Full Name | JENNIFER LAUREN LARSEN |
| Credential | LCSW |
| Practice Address |
12 Health Services Dr Dekalb IL 60115-9637 |
| Mailing Address |
Po Box 1109 Dekalb IL 60115-7109 |
| Practice Telephone | 8157564875 |
| Mailing Telephone | 8157564875 |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
149.022626 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 474579189001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578839486 | Jennifer Jean Nissly Larsen | Internal Medicine | 1200 El Camino Real Dept 384, South San Francisco, CA 94080-3208 | 2012-03-25 |
| 1467765289 | Jennifer Larsen | Psychologist | 1921 Jackson St, Burbank, CA 91504-3537 | 2010-07-21 |
| 1760691562 | Jennifer Evelyn Larsen | Massage Therapist | 2268 Georgetown Cir, Aurora, IL 60503-6729 | 2007-05-21 |
| 1538204631 | Jennifer Larsen | Registered Nurse | 5211 Windsock Ct, Hilliard, OH 43026-9071 | 2007-02-20 |
| 1922062256 | Jennifer Larsen | Marriage & Family Therapist | 18 W Micheltorena St, Suite B, Santa Barbara, CA 93101-6527 | 2006-04-13 |
| 1407469943 | Jennifer Nicole Larsen | Behavioral Analyst | 1100 Haxton Dr Unit 115, Fort Collins, CO 80525-6213 | 2020-08-25 |
| 1063982015 | Jennifer Ann Larsen | Counselor | 1315 25th St, San Diego, CA 92102-2107 | 2018-12-03 |
| 1306334065 | Jennifer Larsen | Student in an Organized Health Care Education/Training Program | 200 Lothrop St, Pittsburgh, PA 15213-2536 | 2018-04-28 |
| 1013444546 | Jennifer Lynn Larsen | Physical Therapy Assistant | 2115 1st Ave Se, Cedar Rapids, IA 52402-6353 | 2017-05-15 |
| 1972873628 | Jennifer Alma Larsen | Case Manager/Care Coordinator | 180 10th St Se, Suite 201, Le Mars, IA 51031-2559 | 2012-01-11 |
| Street Address |
12 HEALTH SERVICES DR |
| City | DEKALB |
| State | IL |
| Zip Code | 60115-9637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144393497 | Amylynn M Weiten | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2006-11-16 |
| 1952900375 | Brianna Rae Johnson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-10-19 |
| 1215543111 | Rhyann Brianna Locke | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-09-17 |
| 1952925182 | Mariah Anne Thompson | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-03 |
| 1376167734 | Hannah Grace Brennan | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-06-02 |
| 1619590981 | Samantha Nikole Gudmunson | Registered Nurse | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-05-21 |
| 1992326151 | Dianna Huttunen | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
| 1558982702 | Kathleen C Wilkerson | Case Management | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-04-29 |
| 1457983108 | Andrew Ryan Phillips | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-02-11 |
| 1225670219 | Bonn Christian Cruz | Counselor | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372179 | Megan Erhart | Counselor | 304 N. 6th Street, Dekalb, IL 60115 | 2020-09-28 |
| 1689141616 | Stephanie Klewin | Psychologist | 631 S 1st Street, Dekalb, IL 60115 | 2018-10-29 |
| 1164902219 | Kimberly Ann Hart | Counselor | 290 N. Annie Glidden Drive, Gh 416, Niu, Dekalb, IL 60115 | 2018-08-17 |
| 1497235824 | Cory David Michael Hayden | Specialist/Technologist | 175 Yordon Center (niu Athletic Training), Dekalb, IL 60115 | 2018-08-15 |
| 1154807808 | Michael John Borak | Pharmacist | 975 S Annie Glidden Road, Schnucks Market Inc, Dekalb, IL 60115 | 2018-07-16 |
| 1184125841 | Candace Schroeffel | Student in an Organized Health Care Education/Training Program | 520 Garden Rd, Dekalb, IL 60115 | 2018-02-27 |
| 1033627583 | Hannah M Studebaker | Massage Therapist | 3266 Sycamore Road, Dekalb, IL 60115 | 2018-01-18 |
| 1649700238 | Jennifer Mangino | Behavioral Analyst | 138 Berkshire Dr, Dekalb, IL 60115 | 2017-06-15 |
| 1003346628 | Victoria Tullock | Counselor | 631 South First St., Dekalb, IL 60115 | 2017-06-15 |
| 1194263848 | Brianna Kraft | Specialist/Technologist | 900 Crane Dr, Dekalb, IL 60115 | 2017-02-02 |
| Find all providers in zip 60115 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178657 | Kelsey Gustafson | Social Worker | 1500 E Lincoln Hwy # 1, Dekalb, IL 60115-3990 | 2020-03-07 |
| 1699317255 | Atlee T Smith | Social Worker | 1325 Sycamore Rd, Dekalb, IL 60115-2483 | 2019-10-15 |
| 1508931858 | Rose Ann Quaresima | Social Worker | 835 South Fourth Street, Dekalb, IL 60115 | 2006-11-22 |
| 1215543111 | Rhyann Brianna Locke | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2020-09-17 |
| 1720690043 | Rebecca Mascal | Social Worker | 1325 Sycamore Rd, Dekalb, IL 60115-2483 | 2020-08-18 |
| 1659992295 | Dujuan Walker | Social Worker | 507 E Taylor St, Dekalb, IL 60115-4573 | 2020-05-06 |
| 1376164822 | Jasmine Alexis Sronkoski | Social Worker | 631 S 1st St, Dekalb, IL 60115-4117 | 2020-05-06 |
| 1225686199 | Samantha R Heiden | Social Worker | 12 Health Services Dr, Dekalb, IL 60115-9637 | 2019-09-03 |
| 1679126742 | Hayley Marie Garcia | Social Worker | 14 Health Services Dr, Dekalb, IL 60115-9637 | 2019-07-18 |
| 1851953913 | Kelly Hess | Social Worker | 14 Health Services Dr, Dekalb, IL 60115-9637 | 2019-06-28 |
| Find all providers in DEKALB | ||||
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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.