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

Mr. Ethan Tavis Larsen, MSW

Individual provider Mental Health Counselor · NPI 1548915382

Mr. Ethan Tavis Larsen, MSW is a Mental Health Counselor in Northfield, Illinois. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

See every abbreviation used in this directory →

Practice location Address checks out

405 Central Ave
Northfield, IL 60093-3006
Phone: (847) 441-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1548915382
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW
Sole proprietorNo
NPI enumeratedFebruary 21, 2022
Last updated in NPPESFebruary 21, 2022
Certification dateFebruary 21, 2022

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