Provider Demographics
NPI:1922241272
Name:LARSCHEID, MARY E (MSW, PHD, LICSW)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:E
Last Name:LARSCHEID
Suffix:
Gender:F
Credentials:MSW, PHD, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 BRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:ALBERT LEA
Mailing Address - State:MN
Mailing Address - Zip Code:56007-2349
Mailing Address - Country:US
Mailing Address - Phone:507-383-5540
Mailing Address - Fax:
Practice Address - Street 1:311 E CLARK ST
Practice Address - Street 2:
Practice Address - City:ALBERT LEA
Practice Address - State:MN
Practice Address - Zip Code:56007-2955
Practice Address - Country:US
Practice Address - Phone:507-377-3664
Practice Address - Fax:507-457-3027
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-16
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN126871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical