Jill M Larson, BS
Social Worker, Clinical in Preston, Connecticut
1336422708- Practice location
- 124 Route 2A, Preston, CT 06365-8537
- Phone
- 612-232-8367
- Fax
- —
- Last updated
- November 9, 2015
Jill M Larson is a Social Worker, Clinical based in Preston, CT. Jill M Larson practices in Preston, CT and has the professional credentials of BS. The NPI Number for Jill M Larson is 1336422708 and holds a License No. 009138 (CT). The current practice location address for Jill M Larson is 124 Route 2A, Preston, CT 06365-8537 and can be reached out via phone at 612-232-8367.
Provider Profile Details
- NPI Number
- 1336422708
- Provider Name
- Jill M Larson
- Credential
- BS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Route 2A, Preston, CT 06365-8537
- Phone Number
- 612-232-8367
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 22, 2011
- Last Update Date
- November 9, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Route 2A
Preston, CT 06365-8537 - City
- Preston
- State
- Connecticut
- Zip
- 06365-8537
- Phone Number
- 612-232-8367
Provider Business Mailing Address Details
- Address
- 124 Route 2A
Preston, CT 06365-8537 - City
- Preston
- State
- CT
- Zip
- 06365-8537
- Phone Number
- 612-232-8367
License Information
- License Number (1)
- 009138
- License State (1)
- CT
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X · Primary
- License Number (2)
- 18215
- License State (2)
- MD
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jill M Larson, BS?
The NPI number of Jill M Larson, BS is 1336422708. It was assigned on September 22, 2011 and is currently active in the NPPES registry.
What is the specialty of Jill M Larson, BS?
Jill M Larson, BS is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in CT under license number 009138.
Where does Jill M Larson, BS practice?
The practice location is 124 Route 2A, Preston, CT 06365-8537. The office can be reached at 612-232-8367 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336422708 directly on the NPPES registry website.