MICHAEL A LARSON (LICSW) – Clinical Social Worker, NPI 1154829497

MICHAEL A LARSON (LICSW) is a healthcare provider. based in Marshall, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 20823 (MN). The NPI Number for MICHAEL A LARSON (LICSW) is 1154829497

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL A LARSON (LICSW)
NPI
1154829497
Phone
(507) 532-3236
Address
1212 E COLLEGE DR
Enumeration Date
31 January 2018
Last Update Date
19 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5075323236
Graduation Year
2014 (12 years ago)
PAC ID
3870857808
Group Practice PAC ID
7315856119
Professional Enrollment ID
I20180427002139
Address ID
MN562582010MA1212XDRXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

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Provider Addresses for MICHAEL A LARSON (LICSW)

  • 1212, East College Drive, Marshall, Lyon County, Minnesota, 56258, United States

    MARSHALL, MN 562582010

    Phone: (507) 532-3236

    Fax: (507) 532-0240

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180427002139IClinical Social WorkerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour5713$0
View full utilization report →

Insurance plans in this area (ZIP 56258)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7315856119View full group profile
NameSpecialtyState
P S Y C H I A T R YKY
Mental Health CounselorMN
Marriage And Family TherapistMN
-MN
Clinical Social WorkerMN
Mental Health CounselorMN
Nurse PractitionerMN
Clinical Social WorkerSD
Mental Health CounselorMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

Where can patients find MICHAEL A LARSON (LICSW)'s NPI?
You can confirm MICHAEL A LARSON (LICSW) with NPI 1154829497; it appears in the national provider directory.
Does this profile mean MICHAEL A LARSON (LICSW) is currently active?
Yes — MICHAEL A LARSON (LICSW) appears active in the national provider directory.
What kind of provider is MICHAEL A LARSON (LICSW)?
The page reflects Clinical Social Worker for MICHAEL A LARSON (LICSW). Clinical services aligned with this taxonomy classification.
What location metadata exists for MICHAEL A LARSON (LICSW)?
The page summarizes Marshall, Minnesota for MICHAEL A LARSON (LICSW); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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