Mr A Brooks Larsen, LCSW in Mayfield, UT - Social Worker

Mr A Brooks Larsen, LCSW is a Social Worker - Clinical based in Mayfield, Utah. Mr A Brooks Larsen is licensed to practice in California (license number LCS12724) and his current practice location is 133 N 100 W, Mayfield, Utah. He can be reached at his office (for appointments etc.) via phone at (209) 669-2880.

NPI number for Mr A Brooks Larsen is 1720264690 and his current mailing address is Po Box 209, Mayfield, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720264690.

Contact Information

	Mr A Brooks Larsen, LCSW
	133 N 100 W, Mayfield, UT 84643-0209
	(209) 669-2880
	(435) 528-5394

Healthcare Provider's Profile

Full Name	Mr A Brooks Larsen
Gender	Male
Speciality	Social Worker - Clinical
Location	133 N 100 W, Mayfield, Utah
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1720264690
Provider Enumeration Date: 01/10/2008
Last Update Date: 11/10/2022

Medical Identifiers

Medical identifiers for Mr A Brooks Larsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720264690	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCS12724 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr A Brooks Larsen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr A Brooks Larsen, LCSW Po Box 209, Mayfield, UT 84643-0209 Ph: (092) 669-2880	Mr A Brooks Larsen, LCSW 133 N 100 W, Mayfield, UT 84643-0209 Ph: (209) 669-2880

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Mr A Brooks Larsen, LCSW - Clinical Social Worker in Mayfield, UT