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ELISE ANN LARSEN LCSW
NPI 1841664380
Social Worker - Clinical in Grants, NM

Active since November 20, 2015PECOS Enrolled
1016 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-4446(505) 287-5213 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2024, Nov 20, 2015 (2 updates tracked since 2015).

About Elise Ann Larsen Lcsw NPPES

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

ELISE ANN LARSEN LCSW (NPI 1841664380) is an individual clinical provider in Grants, New Mexico, licensed in New Mexico (SWB-2024-0822) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1841664380
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameELISE ANN LARSENCredential: LCSW
Location Address1016 E ROOSEVELT AVEGrants, NM 87020-2118
Mailing Address1016 E Roosevelt AveGrants, NM 87020-2118 · (505) 287-4446 · Fax (505) 287-5213
Phone(505) 287-4446
Fax(505) 287-5213
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 20, 2015
Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
✔ NPI 1841664380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NM · SWB-2024-0822
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.
1016 E ROOSEVELT AVE, Grants, NM 87020
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elise Ann Larsen Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648638635
PECOS Enrollment IDI20230623000758
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 Reassignment

Medicare enrollment records show Elise Larsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cibola General Hospital Corporation
Same address
Critical Access
1016 E ROOSEVELT AVE
Grants, NM 87020
  • Reassigned Medicare billing, New Mexico enrollment
  • 144 clinicians in this Medicare group
NPI 1780677039 (505) 287-5300

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 87020 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 $54.26 – $166.80
Typical copayment $0.00 (range $13.56 – $41.70)
Most-billed visit code NA
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 13

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

MRS. HANNAH BETH WAHL DPT, PT
Physical Therapist
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5339
CIBOLA GENERAL HOSPITAL PHCY
Pharmacy (Institutional Pharmacy)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5320
MR. EDWARD S SANSHU CRNA
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
DR. CHANDER S BHATIA MD
Emergency Medicine
1016 E ROOSEVELT AVE, EMERGENCY DEPARTMENT
GRANTS, NM 87020
Cibola County (505) 287-5260
ALICIA RENEE BALOK RN, IBCLC
Registered Nurse (Lactation Consultant)
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
ELLEN CASAVANTES LMSW
Social Worker
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-5211
DR. ALFREDO NEVAREZ M.D.
Family Medicine
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446
EDWARD S. SANSHU CERTIFIED & REG
Nurse Anesthetist, Certified Registered
1016 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-4446

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 Elise Larsen's NPI number?

The NPI number for Elise Larsen is 1841664380. It was assigned to this individual provider in the NPPES registry on November 20, 2015.

Where is Elise Larsen located?

Elise Larsen practices at 1016 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-4446.

What is Elise Larsen's specialty?

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

Is Elise Larsen enrolled in Medicare?

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

Which organization bills Medicare for Elise Larsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elise Larsen reassigns Medicare benefits to Cibola General Hospital Corporation (Grants, NM). The 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 Elise Larsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elise Larsen was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.