ANDREA DIXIE LARSON (NPI# 1508828039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508828039 |
| Entity Type | Individual |
| Full Name | ANDREA DIXIE LARSON |
| Credential | L.C.S.W. |
| Practice Address |
7575 S 9th E Midvale UT 84047-5100 |
| Mailing Address |
11410 Cherry Hill Dr Sandy UT 84094-5675 |
| Practice Telephone | 8012081031 |
| Practice Fax Number | 8012081987 |
| Mailing Telephone | 8014503639 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2009-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
345808-3501 | UT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578829743 | Andrea Lyn Larson | Pharmacist | 889 Venture Dr, Morgantown, WV 26508-7311 | 2012-04-02 |
| 1861948010 | Andrea Lois Larson | Nurse Practitioner | 800 Kenyon Rd, Fort Dodge, IA 50501-5776 | 2016-08-28 |
| 1750746921 | Andrea Larson | Registered Nurse | 420 S 32nd Ave, Yakima, WA 98902-3635 | 2015-12-15 |
| 1366822587 | Andrea Elizabeth Larson | Family Medicine | 5625 Cenex Dr, Inver Grove Heights, MN 55077 | 2015-06-03 |
| 1871901660 | Andrea Larson | Pharmacist | 17370 Lakeside Hills Plz, Omaha, NE 68130-2352 | 2014-07-24 |
| 1114363868 | Andrea N Larson | Pharmacist | 1390 University Ave W, Saint Paul, MN 55104-4001 | 2013-05-21 |
| 1134455009 | Andrea Larson | Speech-Language Pathologist | 140 Cabarrus Ave W, Concord, NC 28025 | 2009-10-27 |
| 1386877462 | Andrea Laura Larson | Pharmacist | 1000 36th St, Vero Beach, FL 32960-4862 | 2009-08-24 |
| 1801001342 | Andrea N Larson | Pharmacist | 100 4th St S, Fargo, ND 58103-1929 | 2007-05-10 |
| 1821158346 | Andrea Larson | Physician Assistant | 160 Allen St, Rutland, VT 05701-4560 | 2006-12-12 |
| Street Address |
7575 S 9TH E |
| City | MIDVALE |
| State | UT |
| Zip Code | 84047-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649885096 | Wound Pros Utah | Durable Medical Equipment & Medical Supplies | 6975 Union Park Avenue, Suite 600, Cottonwood Heights, UT 84047 | 2020-09-12 |
| 1457965824 | Duy Danny Vo | Pharmacist | 7200 S State St, Midvale, UT 84047 | 2020-09-03 |
| 1619457314 | Tlcpo LLC | Counselor | 6975 Union Park Avenue Suite 600, Cottonwood Heights, UT 84047 | 2018-08-21 |
| 1700371606 | Heather Ivana Lawrence | Social Worker | 6856 700 E, Midvale, Ut 84047, Midvale,ut, UT 84047 | 2018-06-25 |
| 1285128942 | A&a Counseling | Counselor | 7602 S Main St, Midvale, UT 84047 | 2018-06-17 |
| 1396235339 | Hhalmid | Assisted Living Facility | 6968 S 700 E, Midvale, UT 84047 | 2018-05-15 |
| 1750879987 | Rosemarie Elaine Brinig | Counselor | 75 E. Ft. Union, C118, Midvale, UT 84047 | 2018-04-24 |
| 1861921140 | Olivia Devenport | Behavior Technician | 7434 S State Street, Midvale, UT 84047 | 2017-06-08 |
| 1376083071 | Marathon Health, LLC | Nurse Practitioner | 7259 South Bingham Junction, C/o Chg- Ut Health Center, Midvale, UT 84047 | 2017-02-28 |
| 1710436316 | Michael Naanes | Physical Therapist | 900 East 6900 South, Suite 100, Midvale, UT 84047 | 2016-09-25 |
| Find all providers in zip 84047 | ||||
| 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 |
|---|---|---|---|---|
| 1417578238 | Brandy Boyer | Social Worker | 6 W Inglenook Dr Apt 107, Midvale, UT 84047-5304 | 2020-05-04 |
| 1093107633 | Edward Chase Peterson | Social Worker | 27 W Princeton Dr, Midvale, UT 84047-7513 | 2015-02-18 |
| 1023438132 | Kay Sue Simons | Social Worker | 356 E 6990 S, Midvale, UT 84047-1641 | 2014-04-16 |
| 1457781726 | Camille Kennard | Social Worker | 537 E Cobblestone Dr, Midvale, UT 84047-4602 | 2013-11-22 |
| 1831491950 | Robert B Justiniano | Social Worker | 7484 Maple St, Midvale, UT 84047-2035 | 2010-11-22 |
| 1942515317 | Amanda Jae Gonzalez | Social Worker | 6770 S 900 E, Suite 105, Midvale, UT 84047-1709 | 2010-08-10 |
| 1558680074 | Natalie Harris | Social Worker | 204 Layne Dr, Midvale, UT 84047-2173 | 2010-05-24 |
| 1497988976 | Theresa Schubach | Social Worker | 562 E Fort Union Blvd, Midvale, UT 84047-2245 | 2009-08-31 |
| 1235284100 | Mary Alice Cunningham PC | Social Worker | 7971 Pioneer St, Midvale, UT 84047-7418 | 2007-01-23 |
| 1134208051 | Lewis Leland Boone | Social Worker | 954 E North Union Ave, B-204, Midvale, UT 84047-1765 | 2006-11-02 |
| Find all providers in MIDVALE | ||||
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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.