MS. LARISSA D PEAY LICSW
NPI 1003052044
Social Worker - Clinical in Issaquah, WA

Active since December 22, 2008Opted out of Medicare · through Dec 17, 2027
310 3RD AVE NE STE 105, ISSAQUAH, WA 98027(801) 209-4198 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 6, 2023, Nov 13, 2019 (2 updates tracked since 2019).

About Ms. Larissa D Peay Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. LARISSA D PEAY LICSW (NPI 1003052044) is an individual clinical provider in Issaquah, Washington, licensed in Washington (LW 00009158) and active in the NPI registry since December 2008. She has opted out of Medicare through December 17, 2027.

NPPES Registry Identity

NPI1003052044
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. LARISSA D PEAYCredential: LICSW
Location Address310 3RD AVE NE STE 105Issaquah, WA 98027-3345
Mailing Address310 3rd Ave Ne Ste 105Issaquah, WA 98027-3345 · (801) 209-4198
Sole ProprietorYes
Enumeration DateDecember 22, 2008
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1003052044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW 00009158
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
310 3RD AVE NE STE 105, Issaquah, WA 98027

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Larissa D Peay Licsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 17, 2019 through December 17, 2027.

Opt-Out Effective DateDecember 17, 2019
Opt-Out In Effect ThroughDecember 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
310 3RD AVE NE STE 105
ISSAQUAH, WA 98027
Counselor (Mental Health)
310 3RD AVE NE STE 105
ISSAQUAH, WA 98027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larissa Peay's NPI number?

The NPI number for Larissa Peay is 1003052044. It was assigned to this individual provider in the NPPES registry on December 22, 2008.

Where is Larissa Peay located?

Larissa Peay practices at 310 3rd Ave NE Ste 105, Issaquah, WA 98027. The listed phone number is (801) 209-4198.

What is Larissa Peay's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Larissa Peay enrolled in Medicare?

No. Larissa Peay has opted out of Medicare through December 17, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Larissa Peay accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Larissa Peay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Larissa Peay was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.