Stephanie Larson, MSW, LICSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Roberts, Wisconsin. She graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
1186 121st St, Roberts, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 495-5486.
Stephanie Larson is licensed to practice in Wisconsin (license number 11038-123) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1740875608.
Healthcare Provider's Profile
| Full Name | Stephanie Larson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 1186 121st St, Roberts, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Stephanie Larson graduated from medical school in 2020
NPI Data:
- NPI Number: 1740875608
- Provider Enumeration Date: 03/03/2021
- Last Update Date: 05/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 6305213471
- Enrollment ID: I20221102000660
Medical Identifiers
Medical identifiers for Stephanie Larson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740875608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 29282 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 11038-123 (Wisconsin) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stephanie Larson allows following entities to bill medicare on her behalf.
| Entity Name | Jewish Family Service Of St. Paul |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821165234 PECOS PAC ID: 5092896936 Enrollment ID: O20080116000591 |
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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. Stephanie Larson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Stephanie Larson, MSW, LICSW, LCSW 1186 121st St, Roberts, WI 54023-8538 Ph: (715) 495-5486 | Stephanie Larson, MSW, LICSW, LCSW 1186 121st St, Roberts, WI 54023-8538 Ph: (715) 495-5486 |
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