STEPHANIE LARSEN
NPI 1164808788
Social Worker - Clinical in Salt Lake City, UT

Active since August 05, 2015PECOS EnrolledAccepts Medicare Assignment
1020 S MAIN ST, SALT LAKE CITY, UT 84101(888) 949-4864 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 19, 2025, Jan 7, 2021 (2 updates tracked since 2021).

About Stephanie Larsen NPPES

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

STEPHANIE LARSEN (NPI 1164808788) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (9826390-3501) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164808788
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTEPHANIE LARSEN
Location Address1020 S MAIN STSalt Lake City, UT 84101-3176
Mailing Address3737 W 4100 SWest Valley City, UT 84120-5543 · (888) 949-4864
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 5, 2015
Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1164808788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in UT · 9826390-3501
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.
1020 S MAIN ST, Salt Lake City, UT 84101

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Larsen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335488600
PECOS Enrollment IDI20190304001955
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
5965 S 900 E, SUITE 240
Salt Lake City, UT 84121
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Valley Behavioral Health Incorporated
  • 118 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84101 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Peer Specialist
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Counselor (Mental Health)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Social Worker (Clinical)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1020 S MAIN ST
SALT LAKE CITY, UT 84101

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 Stephanie Larsen's NPI number?

The NPI number for Stephanie Larsen is 1164808788. It was assigned to this individual provider in the NPPES registry on August 5, 2015.

Where is Stephanie Larsen located?

Stephanie Larsen practices at 1020 S Main St, Salt Lake City, UT 84101. The listed phone number is (888) 949-4864.

What is Stephanie Larsen's specialty?

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

Is Stephanie Larsen enrolled in Medicare?

Yes. Stephanie Larsen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Stephanie Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Larsen reassigns Medicare benefits to Valley Mental Health Incorporated (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephanie Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Larsen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and BridgeSpan Health Company and 2 other insurers list Stephanie Larsen 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 Stephanie Larsen was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.