NPI Code Details Logo

NPI 1649653627

NPI 1649653627 : HEATHER KATE LARIMORE LCSW : TEMPE, AZ

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649653627
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HEATHER KATE LARIMORE LCSW
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/08/2015
-----------------------------------------------------
    Last Update Date     |    12/04/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1500 N PRIEST DR STE 109 
-----------------------------------------------------
    City                 |    TEMPE
-----------------------------------------------------
    State                |    AZ
-----------------------------------------------------
    Zip                  |    85288-1213
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    702-589-4871
-----------------------------------------------------
    Fax                  |    702-589-4872
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2200 PASEO VERDE PKWY STE 190 
-----------------------------------------------------
    City                 |    HENDERSON
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89052-2703
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    702-589-4871
-----------------------------------------------------
    Fax                  |    702-589-4872
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    0904017319
-----------------------------------------------------
    License Number State |    VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    LCSW10747-C
-----------------------------------------------------
    License Number State |    NV
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    1041C0700X
-----------------------------------------------------
    Taxonomy Name        |    Clinical Social Worker
-----------------------------------------------------
    License Number       |    LCSW21048
-----------------------------------------------------
    License Number State |    AZ
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.