Derek R Larson is a Clinical in Layton, Utah. Derek R Larson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derek R Larson is 1194731091. The last update date is 2013-09-25.
Derek R Larson's current location address is 2250 N 1700 W, Layton, Utah. You can contact this provider via phone number 8017737060. The mailing address for Derek R Larson is 2250 N 1700 W, Layton, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Derek R Larson |
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Address | 2250 N 1700 W, Layton, Utah |
Phone Number | 8017737060 |
Fax Number | |
Sole Proprietor | N |
Credentials | LCSW |
NPI Number Detail
NPI Number | 1194731091 |
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Provider Enumeration Date | 2006-07-31 |
Last Updated Date | 2013-09-25 |
Provider Mailing Address Detail
Address | 2250 N 1700 W |
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City | Layton |
State | Utah (UT) |
Post Code | 840411140 |
Phone Number | 8017737060 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 1041C0700X |
Licence No | 4941733-3501 |
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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What is the Derek R Larson's unique identification number?
The Derek R Larson has been assigned the NPI (National Provider Identifier) Number 1194731091 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Derek R Larson is physically located?
The Derek R Larson is situated at the following address: 2250 N 1700 W, Layton, UT 840411140.
What is the Derek R Larson's specialty and taxonomy code?
The Derek R Larson's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the Derek R Larson receive its 1194731091 assignment from the Centers for Medicare & Medicaid Services?
The Derek R Larson was assigned its 1194731091 by the Centers for Medicare & Medicaid Services on 2006-07-31.
When was the information regarding Derek R Larson most recently updated?
The details pertaining to the Derek R Larson, including its address, specialty, and other relevant information, were last refreshed on 2013-09-25.