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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Other34006321AIN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

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, I20260616003060
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 Reassignments

4

Medicare enrollment records show Mary Larose reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Behavioral Care Of Ohio, Inc.
278 mi
Clinical
13655 RIVERPORT DR
Maryland Heights, MO 63043
  • Reassigned Medicare billing, Missouri enrollment
  • 4 clinicians in this Medicare group
NPI 1528945623 (877) 622-0013
Mental Health Specialty Group PA
584 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Missouri enrollment
  • 56 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Sondermind Provider Network LLC
958 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Indiana and Missouri enrollments
  • 136 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279
Sondermind PC
1,877 mi
Clinical
6203 SAN IGNACIO AVE STE 110
San Jose, CA 95119
  • Reassigned Medicare billing, Illinois enrollment
  • 106 clinicians in this Medicare group
NPI 1003646977 (844) 843-7279

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 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)
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
HEALTHLINC, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
GAURAV DESAI DDS
Dentist
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
REBECCA LOUISE KRAY FNP-BC
Nurse Practitioner (Family)
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
ERICA L CORRADINO
Nurse Practitioner (Family)
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
OLIVIA RUDNICKI
Dentist
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200
MS. MELISSA L WILSON FNP-BC
Nurse Practitioner (Family)
710 FRANKLIN ST STE 200
MICHIGAN CITY, IN 46360
Laporte County (219) 872-6200

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 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.

Where is Mary Larose located?

Mary Larose practices at 710 Franklin St Ste 200, Michigan City, IN 46360. The listed phone number is (219) 872-6200.

What is Mary Larose's specialty?

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

Is Mary Larose enrolled in Medicare?

Yes. Mary Larose is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Larose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Larose reassigns Medicare benefits to 4 organizations: Optum Behavioral Care Of Ohio, Inc. (Maryland Heights, MO), Mental Health Specialty Group PA (Durham, NC), Sondermind Provider Network LLC (Denver, CO) and Sondermind PC (San Jose, CA). Each 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 Mary Larose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Larose accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Medica and UnitedHealthcare list Mary Larose 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 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 7 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.