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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. KURT DOMINICK LAROSE, LCSW, LICSW

Active Sole Proprietor

MR. KURT DOMINICK LAROSE, LCSW, LICSW is a Clinical Social Worker healthcare provider located in PERRYVILLE, Missouri. NPI 1023221967 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PERRYVILLE, MO

Registration Details

NPI Number
1023221967
Provider Type
Individual
Gender
Male
NPI Issued
May 7, 2007 (19.2560723334 yrs)
Last Updated
Feb 24, 2022
Licenses
SW9297 (FL)
LC50081569 (DC)
2020023042 (MO)
Sole Proprietor
Yes

Practice Information

Address
12 N KINGS HWY STE 101
PERRYVILLE, MO, 637751367
Browse MO providers · Browse ZIP 63775
Phone
5735473116
Fax
5735472963
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PERRYVILLE, MO

Name Credential NPI
JAMES MORRIS LCSW 1720171838
MRS. NICOLA WISSLER LCSW 1700152691
MICHELLE R. PEREZ LCSW 1306100078
SARA NOENNIG LCSW 1730590787
MRS. SHERRY ANN GOSHEN LCSW 1487024956
NICOLE CAMPBELL LCSW 1134605850
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.