Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrew John Larsen, LCSW

Individual provider Clinical Social Worker · NPI 1720590383

Andrew John Larsen, LCSW is a Clinical Social Worker in Providence, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

405 Edgewood Dr
Providence, UT 84332-9471
Phone: (435) 233-4417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 10834398-3501 (UT)

Record details

NPI number1720590383
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 3, 2017
Last updated in NPPESJanuary 10, 2024
Certification dateJanuary 10, 2024

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