Larkin, Conrad E.

Larkin, Conrad E. is an individual health care provider with primary practice located at 924 Langeburg St , Santa Rosa CA 95407-2533. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Larkin, Conrad E. can be contacted via phone (707) 566-7570.

Contact Information

Primary practice address
924 Langeburg St Santa Rosa CA 95407-2533
Phone: (707) 566-7570
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5501 California

Profile Details

NPI number 1104983238
LBN Legal business name Larkin, Conrad E.
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 1st, 2007
Last updated Dec 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104983238 NPPES
California MEDICAID CSW055010

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