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

Active since August 05, 2015PECOS Enrolled
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: August 16, 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.

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
Phone(888) 949-4864
Sole ProprietorNo
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1020 S MAIN ST, Salt Lake City, UT 84101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Larsen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BETHANY SELL
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
MRS. JOLYNNE MARIE LUCERO
Peer Specialist
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (801) 539-7000
MADELINE ELIZABETH OLSON
Counselor (Mental Health)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
NAYELI ORTIZ
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
SAGE PACKER
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
MS. LYDIA M KHAI LCSW
Social Worker (Clinical)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
ELISA MENDOZA
Case Manager/Care Coordinator
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (888) 949-4864
VALLEY MENTAL HEALTH INCORPORATED
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1020 S MAIN ST
SALT LAKE CITY, UT 84101
Salt Lake County (801) 539-7000

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 enrollment system.

What insurance does Stephanie Larsen accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health 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 9 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.