Provider Demographics
NPI:1154602209
Name:LARSON, ARIELLE FRANK (LCSW)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:FRANK
Last Name:LARSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:LAUREN
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:2906 SAN GABRIEL ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78705-3533
Mailing Address - Country:US
Mailing Address - Phone:512-662-1588
Mailing Address - Fax:512-271-6365
Practice Address - Street 1:2906 SAN GABRIEL ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78705-3533
Practice Address - Country:US
Practice Address - Phone:512-662-1588
Practice Address - Fax:512-271-6365
Is Sole Proprietor?:No
Enumeration Date:2011-09-02
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX552721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical