Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Philip Reed Larsen Jr., LICSW, LCSW

Individual provider Clinical Social Worker · NPI 1497781496

Mr. Philip Reed Larsen Jr., LICSW, LCSW is a Clinical Social Worker in Santa Fe, New Mexico. Qualified in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts and New Mexico.

Years since qualifying
30
Licensed in
MA, NM
In the registry since
2006
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
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

1229 S Saint Francis Dr Ste B
Santa Fe, NM 87505-4052
Phone: (413) 626-1094
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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 C-09948 (NM)
Clinical Social Worker Taxonomy 1041C0700X · Licence 110336 (MA)

Record details

NPI number1497781496
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , LCSW
Sole proprietorYes
NPI enumeratedJune 23, 2006
Last updated in NPPESOctober 12, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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