MARY JO LAROSE LCSW
NPI 1275952012
Social Worker - Clinical in Michigan City, IN

Q: What is Mary Larose's NPI number?

The NPI number for Mary Larose is 1275952012. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Q: What is Mary Larose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Larose was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 09, 2014PECOS Enrolled

710 FRANKLIN ST STE 200, MICHIGAN CITY, IN 46360(219) 872-6200(219) 879-2915 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, Mar 5, 2026 (2 updates tracked since 2026).

On this page

About Mary Jo Larose Lcsw NPPES

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

MARY JO LAROSE LCSW (NPI 1275952012) is an individual clinical provider in Michigan City, Indiana, licensed in Indiana (34006321A) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1275952012

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMARY JO LAROSECredential: LCSW

Location Address710 FRANKLIN ST STE 200Michigan City, IN 46360-3564

Mailing Address710 Franklin St Ste 200Michigan City, IN 46360-3564 · (219) 872-6200 · Fax (219) 879-2915

Phone(219) 872-6200

Fax(219) 879-2915

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateApril 9, 2014

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1275952012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in IN · 34006321A✔ Licensed in MO · 2017004755

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.

710 FRANKLIN ST STE 200, Michigan City, IN 46360

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Other Identifiers 1

Other34006321AIN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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)

Mary Jo Larose Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880964055

PECOS Enrollment IDI20251113000741

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 46360 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 $53.07 – $161.76

Typical copayment $0.00 (range $13.26 – $40.44)

Most-billed visit code NA

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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 7

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

WILLIAM EDWARD SHORT

Social Worker (Clinical)