LARISSA MICHELLE LEISS LMSW - NPI 1609553684

Q: What is Larissa Leiss's NPI number?

The NPI number for Larissa Leiss is 1609553684. It was assigned to this individual provider in the NPPES registry on June 30, 2023.

Q: What is Larissa Leiss's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Larissa Leiss was last updated on June 30, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Larissa Michelle Leiss Lmsw NPPES

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

LARISSA MICHELLE LEISS LMSW (NPI 1609553684) is an individual social worker in Reno, Nevada, licensed in Nevada (10772-M) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1609553684

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameLARISSA MICHELLE LEISSCredential: LMSW

Location Address5540 RENO CORPORATE DRReno, NV 89511-2599

Mailing Address2445 Bentley DrReno, NV 89523-2847 · (775) 240-4538

Phone(775) 448-9760

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 30, 2023

NPPES CertifiedJune 30, 2023

✔ NPI 1609553684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in NV · 10772-M

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

5540 RENO CORPORATE DR, Reno, NV 89511

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Michelle Leiss Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355839291

PECOS Enrollment IDI20251022002306

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

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

KRYSTAL DAWN CUEN LMSW, CSW INTERN

Social Worker (Clinical)