Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336689314 Individual Practitioner Female Practitioner

Samantha N Larson , LCSW

Social Worker • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Samantha Larson, LCSW is a registered healthcare professional specializing in Social Worker in Appleton, WI. Practice services are available at 442 N WESTHILL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

442 N Westhill Blvd

Appleton, WI 549145715

Telephone 9207507000
Fax 9203642451
Associated Practice Facility / Clinic
🏢 Catalpa Health Facility NPI 1386992451

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 18.2 Yrs
Regional Practice Density
54 Specialists

Practicing in Appleton, WI (1954 Statewide)

Telehealth Adoption Rate
1.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License WI 9003-123

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License WI 9003

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.

Social Worker

NUCC Taxonomy Code: 104100000X

State License WI 130252-121

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100064946 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Maria Vercimak , LPC

Counselor - Professional

NPI 1003279753

Licensed Professional Counselor

Dr. Mark Rovick , DO

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1003866864

Doctor of Osteopathic Medicine (D.O.)

Yer Thao

Counselor - Professional

NPI 1023702156
Scott Radtke , LPC

Counselor - Professional

NPI 1033106794

Licensed Professional Counselor

Stephanie Shirey

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043672504
Lisa Engelhardt , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043686538

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location July 11, 2019

Registered at 442 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2019

Social Worker (License #9003-123 in WI)

📍
Updated Practice Location June 26, 2019

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated June 26, 2019

Recorded as SAMANTHA LARSON, LCSW

📍
Updated Business Mailing Address September 05, 2018

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated September 05, 2018

Recorded as SAMANTHA RASHID, LCSW

NPI Profile Active December 08, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2017

Registered at 444 N. WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

📍
Updated Business Mailing Address December 08, 2017

Registered at 444 N. WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated December 08, 2017

Recorded as SAMANTHA RASHID, MSW, APSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2017

Social Worker (License #130252-121 in WI)

NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2017

Registered at 1920 N CASALOMA DR, APPLETON, WI 549137982 (Tel: 9207507000)

📍
Updated Business Mailing Address February 24, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507000)

👤
Provider Name / Credentials Updated February 24, 2017

Recorded as SAMANTHA RASHID, MSW, APSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Social Worker (License #130252-121 in WI)

🟢
Initial NPI Registration & Enumeration February 24, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336689314
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2017
Last Update: July 11, 2019
Sole Proprietor: No

Mailing Address

444 N Westhill Blvd

Appleton, WI 549145715

Phone: 9207507000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.