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

Jill Larson, MSW

Individual provider Clinical Social Worker · NPI 1669503587

Jill Larson, MSW is a Clinical Social Worker in Peoria, Illinois. Qualified in 2003, 23 years ago. Practices with Edge Counseling and Wellness LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2007
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

7617 N Villa Wood Ln
Peoria, IL 61614-1588
Phone: (309) 693-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Po Box 746878, Atlanta, GA 30374-6878 — (323) 205-7088

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149012594 (IL)

Record details

NPI number1669503587
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

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 Edge Counseling And Wellness Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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