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

Individual provider Clinical Social Worker · NPI 1396117776

Lisa Victoria Larson, LCSW is a Clinical Social Worker in Kings Park, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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

425 Kohr Rd
Kings Park, NY 11754-1216
Phone: (516) 359-2777
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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 083324-1 (NY)

Record details

NPI number1396117776
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 26, 2015
Last updated in NPPESOctober 26, 2015

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