| Doctor Name: | MS. DENISE MARIE LARNELL |
| NPI Number: | 1073655619 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MED LCSW |
| License Number: | SW003691 |
| Business Practice Address: | 9378 Olive Ste 316 St Louis, MO - 63132 |
| Business Phone Number: | 3149952641 |
| Business Fax Number: | |
| Mailing Address: | 1534 Somerset Terrace Dr, ST LOUIS |
| State: | MO |
| Postal Code: | 63136 |
| Phone Number: | 3149952641 |
| Fax Number: | |
| NPI Enumeration Date: | 02/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW003691 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |