LARRY VAUGHN BLAIR L.I.C.S.W.
NPI 1083936181
Social Worker - Clinical in Burnsville, MN

Active since February 17, 2010
2970 JUDICIAL ROAD, SUITE 100, BURNSVILLE, MN 55337(952) 224-8990(952) 224-8991 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Dec 30, 2020, Sep 18, 2020 (3 updates tracked since 2020).

About Larry Vaughn Blair L.i.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY VAUGHN BLAIR L.I.C.S.W. (NPI 1083936181) is an individual clinical provider in Burnsville, Minnesota, licensed in Minnesota (10727) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1083936181
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameLARRY VAUGHN BLAIRCredential: L.I.C.S.W.
Location Address2970 JUDICIAL ROAD, SUITE 100Burnsville, MN 55337
Mailing Address2970 Judicial Road, Suite 100Burnsville, MN 55337 · (952) 224-8990 · Fax (952) 224-8991
Fax(952) 224-8991
Sole ProprietorNo
Enumeration DateFebruary 17, 2010
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2020
NPI 1083936181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MN · 10727
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

2970 JUDICIAL ROAD, Burnsville, MN 55337

Other Identifiers 1

Medicaid708390400MN

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Blair's NPI number?

The NPI number for Larry Blair is 1083936181. It was assigned to this individual provider in the NPPES registry on February 17, 2010.

Where is Larry Blair located?

Larry Blair practices at 2970 Judicial Road Suite 100, Burnsville, MN 55337. The listed phone number is (952) 224-8990.

What is Larry Blair's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Larry Blair accept?

Health plans from Sanford Health Plan list Larry Blair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larry Blair was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.