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

Camalla Larson

Individual provider Clinical Social Worker · NPI 1790117000

Camalla Larson is a Clinical Social Worker in Kalispell, Montana. Qualified in 2012, 14 years ago. Practices with Brightside Medical of Michigan PC, a 93-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
14
Licensed in
NV
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

38 E Washington St Ste 3
Kalispell, MT 59901-3974
Phone: (406) 871-1243
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 10401-C (NV)

Record details

NPI number1790117000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2013
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023
Mailing address38 E Washington St, Ste 3, Kalispell, MT 59901-3974

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Brightside Medical Of Michigan Pc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kalispell