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

Individual provider Clinical Social Worker · NPI 1689569865

Kelli Larson, LICSW is a Clinical Social Worker in Winona, Minnesota. Qualified in 2021, 5 years ago. Practices with Hiawatha Valley Mental Health Center Inc, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2025
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

420 E Sarnia St Ste 2100
Winona, MN 55987-6414
Phone: (507) 454-4341
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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

Record details

NPI number1689569865
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESJune 10, 2025
Certification dateJune 9, 2025
Mailing address420 E Sarnia St Ste 2100, Winona, MN 55987-6414

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hiawatha Valley Mental Health Center Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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