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

Samantha Marie Larson, MSW, LCSW

Individual provider Social Worker · NPI 1740899285

Samantha Marie Larson, MSW, LCSW is a Clinical Social Worker in Sister Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with Door County Memorial Hospital, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2345 Canterbury Ln
Sister Bay, WI 54234-5602
Phone: (920) 868-3511
Fax: (608) 270-0467
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11314-123 (WI)
Social Worker Taxonomy 104100000X · Licence 131979-121 (WI)

Record details

NPI number1740899285
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Door County Memorial Hospital — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare