Evelyn Ann Larson in Las Cruces - Clinical
Evelyn Ann Larson - NPI 1588742456
Evelyn Ann Larson is a Clinical in Las Cruces, New Mexico. Evelyn Ann Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Evelyn Ann Larson is 1588742456. The last update date is 2007-07-08.
Evelyn Ann Larson's current location address is 1110 Mechem Ave, Las Cruces, New Mexico. You can contact this provider via phone number 5055270335. The mailing address for Evelyn Ann Larson is 1110 Mechem Ave, Las Cruces, New Mexico. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Evelyn Ann Larson |
|---|---|
| Address | 1110 Mechem Ave, Las Cruces, New Mexico |
| Phone Number | 5055270335 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LISW |
NPI Number Detail
| NPI Number | 1588742456 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1110 Mechem Ave |
|---|---|
| City | Las Cruces |
| State | New Mexico (NM) |
| Post Code | 880053002 |
| Phone Number | 5055270335 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | I-2532 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H4119 | NM | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Evelyn Ann Larson by the Centers for Medicare & Medicaid Services?
The Evelyn Ann Larson has been assigned the NPI (National Provider Identifier) 1588742456 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Evelyn Ann Larson?
The Evelyn Ann Larson is physically situated at 1110 Mechem Ave, in the city of Las Cruces, state of NM, with the postal code 880053002.
What is Evelyn Ann Larson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evelyn Ann Larson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Evelyn Ann Larson receive its 1588742456 assignment from the Centers for Medicare & Medicaid Services?
The Evelyn Ann Larson was assigned its 1588742456 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date were the details related to Evelyn Ann Larson most recently updated or revised?
The information pertaining to Evelyn Ann Larson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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