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

Mary Jo Larose, LCSW

Individual provider Clinical Social Worker · NPI 1275952012

Mary Jo Larose, LCSW is a Clinical Social Worker in Michigan City, Indiana. Qualified in 1982, 44 years ago. Licensed in Indiana and Missouri.

Years since qualifying
44
Licensed in
IN, MO
In the registry since
2014
Specialties on file
2
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

710 Franklin St Ste 200
Michigan City, IN 46360-3564
Phone: (219) 872-6200
Fax: (219) 879-2915
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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 34006321A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2017004755 (MO)

Record details

NPI number1275952012
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 9, 2014
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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