Search › Wisconsin › 1041C0700X
Samantha Larson, MSW, LCSW
NPI 1740899285 · on the registry since 2020
Practice
- Address
- 2345 Canterbury Ln
Sister Bay, WI 54234 - Phone
- (920) 868-3511
- Fax
- (608) 270-0467
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin