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

Mr. Kurt Dominick Larose, LCSW, LICSW

Individual provider Clinical Social Worker · NPI 1023221967

Mr. Kurt Dominick Larose, LCSW, LICSW is a Clinical Social Worker in Perryville, Missouri. Qualified in 2003, 23 years ago. Practices with Mercy Hospital Perry, a 116-clinician group and accepts Medicare assignment. Licensed in District of Columbia, Florida and Missouri.

Years since qualifying
23
Licensed in
DC, FL, MO
In the registry since
2007
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
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

12 N Kings Hwy Ste 101
Perryville, MO 63775-1367
Phone: (573) 547-3116
Fax: (573) 547-2963
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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 2020023042 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW9297 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC50081569 (DC)

Record details

NPI number1023221967
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , LICSW
Sole proprietorYes
NPI enumeratedMay 7, 2007
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Mercy Hospital Perry — 116 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Perryville