STEPHANIE LARSON (BSW) – Social Worker, NPI 1215408422

STEPHANIE LARSON (BSW) is a healthcare provider. based in Ballwin, Missouri. specializing in Social Worker. They hold the professional credentials BSW. They hold a License No. 2023017692 (MO). The NPI Number for STEPHANIE LARSON (BSW) is 1215408422

Main info

Female
Name
STEPHANIE LARSON (BSW)
NPI
1215408422
Phone
(314) 605-6047
Address
602 SHOWPLACE CT
Enumeration Date
16 December 2018
Last Update Date
7 July 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE LARSON (BSW)

  • 602, Showplace Court, Ballwin, Saint Louis County, Missouri, 63021, United States

    BALLWIN, MO 630216232

    Phone: (314) 605-6047

    Type: Mailing

  • 1430 OLIVE ST STE 500

    SAINT LOUIS, MO 631032377

    Phone: (314) 623-9335

    Type: Location

  • 21 MUNICIPAL DR

    ARNOLD, MO 630101012

    Phone: (636) 296-6206

    Type: Location

  • 227 MAIN ST

    FESTUS, MO 630281952

    Phone: (636) 931-2700

    Type: Mailing

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: 2023-08-03

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
I20230803004006IClinical Social WorkerMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63021)

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Reviews

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Frequently asked questions

Is STEPHANIE LARSON (BSW) listed with a National Provider Identifier?
Yes — STEPHANIE LARSON (BSW) has NPI 1215408422 on file in the registry.
Is there an active status for STEPHANIE LARSON (BSW)?
For scheduling context, STEPHANIE LARSON (BSW) is shown as active in the registry.
What expertise is attributed to STEPHANIE LARSON (BSW)?
STEPHANIE LARSON (BSW)'s specialty line reads Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE LARSON (BSW)?
Travel planning: use Ballwin, Missouri as the reference point for STEPHANIE LARSON (BSW), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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