MRS. JEAN A LARSON (NPI# 1487095410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487095410 |
| Entity Type | Individual |
| Full Name | MRS. JEAN A LARSON |
| Credential | MSW LCSW |
| Practice Address |
2118 Chatalet Ln Pueblo CO 81005-4625 |
| Mailing Address |
4860 Robb St Ste 201 Wheat Ridge CO 80033-2162 |
| Practice Telephone | 7195642000 |
| Mailing Telephone | 3032787418 |
| Mailing Fax Number | 8883415050 |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-12-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
631 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922536754 | Jean M Larson | Dietitian, Registered | 400 E 3rd St, Duluth, MN 55805-1951 | 2017-05-24 |
| 1801257332 | Jean Teresa Larson | Nurse Practitioner | 3301 7th Ave, Anoka, MN 55303 | 2016-03-10 |
| 1033206941 | Jean M Larson | Internal Medicine | 417 State St Ste 121, Bangor, ME 04401-6630 | 2006-10-10 |
| 1295836732 | Jean E Larson | Physician Assistant | 2405 Osler Ct, Meredyth Professional Plaza, Albany, GA 31707 | 2006-09-26 |
| Street Address |
2118 CHATALET LN |
| City | PUEBLO |
| State | CO |
| Zip Code | 81005-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891882957 | South Pueblo Medical Investors, LLC | Skilled Nursing Facility | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2006-10-09 |
| 1154892206 | Dayna Ellen Ehlers | Physical Therapist | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2018-12-16 |
| 1366973109 | Shirley Jean Gragg | Emergency Medical Technician, Basic | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2017-03-23 |
| 1295125912 | Romeo Oliva Jr. | Physical Therapist | 2118 Chatalet Ln, Pueblo, CO 81005-4625 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
| 1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
| 1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
| 1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
| 1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
| 1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
| 1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
| 1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
| 1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
| 1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
| Find all providers in zip 81005 | ||||
| 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 |
|---|---|---|---|---|
| 1366060212 | Christopher Paul Beltran | Social Worker | 5825 Mark Twain Ln, Pueblo, CO 81008-9712 | 2020-07-08 |
| 1295208858 | Elizabeth A Miera | Social Worker | 4718 N Elizabeth St Ste E, Pueblo, CO 81008-2080 | 2019-01-07 |
| 1851883953 | Jade Monique Mixon | Social Worker | 3915 Outlook Blvd Ste B2, Pueblo, CO 81008-2604 | 2018-06-04 |
| 1780187245 | Pauline Mae Boyd | Social Worker | 6175 S Interstate 25, Pueblo, CO 81004-9731 | 2018-03-12 |
| 1801284526 | Maria Mora | Social Worker | 1810 Lynwood Ln, Pueblo, CO 81005-2406 | 2015-01-05 |
| 1447547450 | Susan Lynn Lusero | Social Worker | 12 Barrington Ct, Pueblo, CO 81005-3517 | 2011-06-29 |
| 1548554918 | Brandon Rick | Social Worker | 56 Tierra Casa Dr, Pueblo, CO 81005-9773 | 2011-06-02 |
| 1952606154 | Cathie Bonham | Social Worker | 503 N Main St Ste 711, Pueblo, CO 81003-3178 | 2011-01-19 |
| 1659672632 | Moses Edward Vigil | Social Worker | 208 W 8th St, Pueblo, CO 81003-3023 | 2010-11-08 |
| 1083841944 | Janet Dodson | Social Worker | 4 Montebello Rd, Pueblo, CO 81001-1237 | 2009-06-18 |
| Find all providers in PUEBLO | ||||
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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.