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MR. KEVIN DUANE LARRY LMSW, LCSW
NPI 1396932281
Social Worker in Grand Blanc, MI

Active since September 25, 2007PECOS Enrolled
617 BOUTELL DR, GRAND BLANC, MI 48439(404) 988-7120 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Jul 30, 2018 (2 updates tracked since 2018).

About Mr. Kevin Duane Larry Lmsw, Lcsw NPPES

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

MR. KEVIN DUANE LARRY LMSW, LCSW (NPI 1396932281) is an individual social worker in Grand Blanc, Michigan, licensed in Michigan (6801061643) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Flint.

NPPES Registry Identity

NPI1396932281
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. KEVIN DUANE LARRYCredential: LMSW, LCSW
Location Address617 BOUTELL DRGrand Blanc, MI 48439-1535
Mailing Address617 Boutell DrGrand Blanc, MI 48439-1535 · (404) 988-7120
Phone(404) 988-7120
Sole ProprietorYes
Enumeration DateSeptember 25, 2007
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1396932281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801061643
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CSW003802 (GA)
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801061643 (MI), CSW003802 (GA)
617 BOUTELL DR, Grand Blanc, MI 48439
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Secondary Practice Location 1

Location 11102 S. Mackin RdFlint, MI 48503-1204 · Phone (404) 988-7120

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, Priority Health and more.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)

Mr. Kevin Duane Larry Lmsw, Lcsw 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.

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 Kevin Larry's NPI number?

The NPI number for Kevin Larry is 1396932281. It was assigned to this individual provider in the NPPES registry on September 25, 2007.

Where is Kevin Larry located?

Kevin Larry practices at 617 Boutell Dr, Grand Blanc, MI 48439. The listed phone number is (404) 988-7120.

What is Kevin Larry's specialty?

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

Is Kevin Larry enrolled in Medicare?

Yes. Kevin Larry is registered in the Medicare PECOS enrollment system.

What insurance does Kevin Larry accept?

Health plans from CareSource, McLaren Health Plan Community, Priority Health, Providence Health Plan and UnitedHealthcare list Kevin Larry 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 Kevin Larry was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.