DEREK R LARSON LCSW
NPI 1194731091
Social Worker - Clinical in Hill Afb, UT
About Derek R Larson Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK R LARSON LCSW (NPI 1194731091) is an individual clinical provider in Hill Afb, Utah, licensed in Utah (4941733-3501) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murray, and is a graduate of Other (2003).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Derek R Larson Lcsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HILL AFB, UT 84056
HILL AFB, UT 84056
HILL AFB, UT 84056
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 Derek Larson's NPI number?
The NPI number for Derek Larson is 1194731091. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Derek Larson located?
Derek Larson practices at 75th Medical Group 7321 Balmer Street Building 570, Hill Afb, UT 84056. The listed phone number is (801) 777-7909.
What is Derek Larson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Derek Larson enrolled in Medicare?
Yes. Derek Larson 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.
What insurance does Derek Larson accept?
Health plans from Select Health list Derek Larson 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 Derek Larson was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Derek R Larson, LCSW · NPI 1194731091
Clinical provider in Hill Afb, Utah. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1194731091 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 4941733-3501 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 75TH MEDICAL GROUP, 7321 BALMER STREET BUILDING 570, Hill Afb, UT 84056
- **Phone:** (801) 777-7909
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** December 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194731091) · Data from the CMS NPPES public registry.