Samantha Marie Larson, MSW, LCSW

Individual provider Social Worker · NPI 1740899285

Samantha Marie Larson, MSW, LCSW is a Clinical Social Worker in Sister Bay, Wisconsin. Qualified in 2020, 6 years ago. Practices with Door County Memorial Hospital, a 86-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying: 6
Licensed in: WI
In the registry since: 2020
Specialties on file: 2

What do these letters mean?

MSW — Master of Social Work: The graduate degree in social work.
LCSW — Licensed Clinical Social Worker: A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2345 Canterbury Ln
Sister Bay, WI 54234-5602
Phone: (920) 868-3511
Fax: (608) 270-0467

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary)	Taxonomy 1041C0700X · Licence 11314-123 (WI)
Social Worker	Taxonomy 104100000X · Licence 131979-121 (WI)

Record details

NPI number	1740899285
Entity type	Individual (Type 1)
Gender	Female
Credentials	MSW , LCSW
Sole proprietor	No
NPI enumerated	July 30, 2020
Last updated in NPPES	January 16, 2026
Certification date	January 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialty	CLINICAL SOCIAL WORKER
Medical school	OTHER
Graduated	2020 (6 years in practice)
Group practice	Door County Memorial Hospital — 86 clinicians
Accepts Medicare assignment	Yes — accepts the Medicare-approved amount
Practice locations	3 on file with Medicare

Colleagues at Door County Memorial Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 86 clinicians in the practice; 12 are shown here.

Rachel Elizabeth Cui Antony, PA-C Physician Assistant · Pleasant Prairie, WI
Dr. Paul Steven Board, MD Internal Medicine Physician · Sturgeon Bay, WI
MS. Allycia E Bretl, LCSW, SAC-IT Clinical Social Worker · Algoma, WI
Candace Agress Cohen, MD Psychiatry Physician · Sturgeon Bay, WI
Amanda Marie Kassner, PA-C Physician Assistant · Sturgeon Bay, WI
Dr. Quinn James Kirchner, MD Internal Medicine Physician · Sturgeon Bay, WI
Kristine M Matysiak, PA-C Physician Assistant · Sturgeon Bay, WI
Wendy Lynn Mohr, NP Family Nurse Practitioner · Neenah, WI
Seth Patrick Moore, APNP, NP-C, FNP-BC Nurse Practitioner · Sturgeon Bay, WI
Kali Jean Olson, MD, MPH Student in an Organized Health Care Education/Training Program · Sturgeon Bay, WI
Louise Ann Pecevich, PA Physician Assistant · Dorchester, MA
Dr. Brett D Young, MD Orthopaedic Surgery Physician · Sturgeon Bay, WI