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

Michele J. Larson, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1003504788

Michele J. Larson, MSW, LICSW is a Clinical Social Worker in Mankato, Minnesota. Qualified in 2018, 8 years ago. Practices with Pride Counseling Services PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2023
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

104 Serra St
Mankato, MN 56001-9244
Phone: (608) 577-5742
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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 27669 (MN)

Record details

NPI number1003504788
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LICSW
Sole proprietorYes
NPI enumeratedMay 1, 2023
Last updated in NPPESMay 1, 2023
Certification dateApril 29, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Pride Counseling Services Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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