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

Individual provider Mental Health Counselor · NPI 1053934190

Casey Marie Larson, LICSW is a Clinical Social Worker in Rochester, Minnesota. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
9
Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

421 1st Ave SW Ste 300W
Rochester, MN 55902-3389
Phone: (507) 722-1139
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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 · Licence 18054 (MN)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1053934190
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 23, 2020
Last updated in NPPESAugust 3, 2020
Certification dateAugust 3, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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