Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. A. BROOKS LARSEN, L.C.S.W.
Active Sole ProprietorMR. A. BROOKS LARSEN, L.C.S.W. is a Clinical Social Worker healthcare provider located in MAYFIELD, Utah. NPI 1720264690 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MAYFIELD, UT
Registration Details
- NPI Number
- 1720264690
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 10, 2008 (18.411535961261 yrs)
- Last Updated
- Nov 10, 2022
- License
-
LCS12724 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 N 100 WMAYFIELD, UT, 846430209Browse UT providers · Browse ZIP 84643
- Phone
- 2096692880
- Fax
- 4355285394
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.