MRS. JENNIFER ANN LARSON LMSW
NPI 1245703503
Social Worker in Northport, NY

Q: What is Jennifer Larson's NPI number?

The NPI number for Jennifer Larson is 1245703503. It was assigned to this individual provider in the NPPES registry on January 9, 2019.

Q: What is Jennifer Larson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: Is Jennifer Larson enrolled in Medicare?

No. Jennifer Larson has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Larson was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since January 09, 2019Opted out of Medicare · through Oct 1, 2027

79 MIDDLEVILLE RD, NORTHPORT, NY 11768(631) 261-4400 Get Directions Write a Review

NPPES record last updated: January 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jennifer Ann Larson Lmsw NPPES

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

MRS. JENNIFER ANN LARSON LMSW (NPI 1245703503) is an individual social worker in Northport, New York, licensed in New York (105143-1) and active in the NPI registry since January 2019. She has opted out of Medicare through October 1, 2027 and is a graduate of Other (2018).

NPPES Registry Identity

NPI1245703503

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. JENNIFER ANN LARSONCredential: LMSW

Location Address79 MIDDLEVILLE RDNorthport, NY 11768-2200

Mailing Address15 Meadow LnLloyd Harbor, NY 11743-9721 · (631) 385-1535

Phone(631) 261-4400

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJanuary 9, 2019

✔ NPI 1245703503 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NY · 105143-1

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

79 MIDDLEVILLE RD, Northport, NY 11768

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jennifer Ann Larson Lmsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2025 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2025

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

KERI MARIE PINELLI LMSW

Social Worker