Danielle Jo Larsen, LCSW
Social Worker, Clinical in Northbrook, IL. Individual provider (NPI-1).
NPI number1063043834
StatusActive
Last updated in NPPESJan 30, 2020
Details
- NPI
- 1063043834
- Entity type
- Individual (NPI-1)
- Name
- Danielle Jo Larsen
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2020
- Certification date
- Jan 30, 2020
- Last updated
- Jan 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 149021146 | IL | Yes |
Practice location
900 Skokie Blvd Ste 218Northbrook, IL 60062-4043
Phone 847-668-4295
Mailing address
900 Skokie Blvd Ste 218Northbrook, IL 60062-4043
Phone 847-668-4295
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