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

Derek R Larson, LCSW

Individual provider Clinical Social Worker · NPI 1194731091

Derek R Larson, LCSW is a Clinical Social Worker in Hill AFB, Utah. Qualified in 2003, 23 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
23
Licensed in
UT
In the registry since
2006
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

75TH Medical Group 7321 Balmer St Bldg 570
Hill AFB, UT 84056
Phone: (801) 777-7909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5770 S 250 E Ste 300, Murray, UT 84107-8110 — (801) 314-2500

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 4941733-3501 (UT)

Record details

NPI number1194731091
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESDecember 3, 2024
Certification dateDecember 2, 2024
Mailing address75th Medical Group, 7321 Balmer Street Building 570, Hill Afb, UT 84056

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hill AFB