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BRETT KEVIN LARSEN LCSW
NPI 1558796128
Social Worker - Clinical in Salt Lake City, UT

Active since September 13, 2013PECOS Enrolled
344 E 100 S STE 301, SALT LAKE CITY, UT 84111(801) 428-4257 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2022, Mar 17, 2018, Dec 19, 2017 and 1 more (4 updates tracked since 2017).

About Brett Kevin Larsen Lcsw NPPES

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

BRETT KEVIN LARSEN LCSW (NPI 1558796128) is an individual clinical provider in Salt Lake City, Utah, licensed in Utah (10516521-3501) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558796128
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameBRETT KEVIN LARSENCredential: LCSW
Location Address344 E 100 S STE 301Salt Lake City, UT 84111-1727
Mailing Address2500 S State StSouth Salt Lake, UT 84115-3164 · (385) 646-5000
Phone(801) 428-4257
Sole ProprietorNo
Enumeration DateSeptember 13, 2013
Last NPPES UpdateMay 16, 20224 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1558796128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in UT · 10516521-3501✔ Licensed in CA · 76799
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.
Also ListedSocial WorkerTaxonomy 104100000X
344 E 100 S STE 301, Salt Lake City, UT 84111
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Secondary Practice Locations 3

Location 11390 66th AveOakland, CA 94621-3506 · Phone (510) 639-1981
Location 22500 S State StSouth Salt Lake, UT 84115 · Phone (385) 646-5000
Location 3344 E 100 SSalt Lake City, UT 84111-1700 · Phone (801) 633-6972

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brett Kevin Larsen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84111 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 $54.34 – $166.03
Typical copayment $0.00 (range $13.58 – $41.50)
Most-billed visit code NA
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 20

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

MR. JEFFREY JON HASLIP
Community Health Worker
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 322-4257
NANETTE EDITH MOOSMAN
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
OLIVER TROY WIREMAN
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
NICOLE RIEGER
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
LANCE MOCHIZUKI
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
KACIE PECOR
Counselor (Addiction (Substance Use Disorder))
344 E 100 S STE 301
SLC, UT 84111
Salt Lake County (801) 322-4257
MAYRA P RUIZ
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257
JOHN ROSSON III
Case Manager/Care Coordinator
344 E 100 S STE 301
SALT LAKE CITY, UT 84111
Salt Lake County (801) 428-4257

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 Brett Larsen's NPI number?

The NPI number for Brett Larsen is 1558796128. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Brett Larsen located?

Brett Larsen practices at 344 E 100 S Ste 301, Salt Lake City, UT 84111. The listed phone number is (801) 428-4257.

What is Brett Larsen's specialty?

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

Is Brett Larsen enrolled in Medicare?

Yes. Brett Larsen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brett Larsen was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.