Amy Larson, is a
Social Worker - Clinical based in Stockton, Illinois. Amy Larson is licensed to practice in Illinois (license number 149013390) and her current practice location is
9709 E Binkley Rd, Stockton, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 541-8123.
NPI number for Amy Larson is 1861329716 and her current mailing address is 9709 E Binkley Rd, Stockton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861329716.
Healthcare Provider's Profile
| Full Name | Amy Larson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 9709 E Binkley Rd, Stockton, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861329716
- Provider Enumeration Date: 05/05/2026
- Last Update Date: 05/05/2026
Medical Identifiers
Medical identifiers for Amy Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1861329716 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149013390 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Larson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amy Larson, 9709 E Binkley Rd, Stockton, IL 61085-9073 Ph: (815) 541-8123 | Amy Larson, 9709 E Binkley Rd, Stockton, IL 61085-9073 Ph: (815) 541-8123 |
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