Samantha Marie Larson, MSW, LCSW

NPI #1740899285 in Sister Bay, Wisconsin

Provider Information

NPI Number: 1740899285
Entity Type: Individual
Name: Samantha Marie Larson, MSW, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: MSW, LCSW
Enumeration Date: Jul 30, 2020
Last Updated: Jan 16, 2026

Practice Location

Address: 2345 CANTERBURY LN
City: Sister Bay
State: Wisconsin
ZIP Code: 54234-5602
Phone: (920) 868-3511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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