MEDICARE: MS. LARISA MARIE THOMAS MSW, LSWAIC, SUDP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP60264795	WA
2	101YM0800X	Mental Health Counselor	SC61471875	WA

General Provider Information

NPI Number	:	1760615876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LARISA MARIE THOMAS MSW, LSWAIC, SUDP

Provider Business Mailing Address
First Line	:	5700 172ND ST NE # A
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-7742
Country	:	US
Telephone Number	:	360-572-3499
Fax Number	:	360-652-2093

Provider Business Practice Location Address
First Line	:	5700 172ND ST NE # A
Second Line	:
City	:	ARLINGTON
State	:	WA
Zip	:	98223-7742
Country	:	US
Telephone Number	:	360-572-3499
Fax Number	:	360-652-2093

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	11/02/2023

Similar Medicare Providers

1669021952 — JACQUELINE MARIE ROTH
Practice Location Address:

5700 172ND ST NE
ARLINGTON, WA
98223-7742

Practice Phone: 360-652-9640
Practice Fax: 360-652-2093

1790826600 — STILLAGUAMISH TRIBE OF INDIANS
Practice Location Address:

5700 172ND ST NE # A
ARLINGTON, WA
98223-7742

Practice Phone: 360-652-9640
Practice Fax: 360-652-2093

1801129754 — STILLAGUAMISH TRIBE OF INDIANS
Practice Location Address:

5700 172ND ST NE # A
ARLINGTON, WA
98223-7742

Practice Phone: 360-652-9640
Practice Fax: 360-652-2093

1801261276 — VALERIE CHANCE
Practice Location Address:

5700 172ND ST NE
ARLINGTON, WA
98223-7742

Practice Phone: 360-572-3475
Practice Fax: 360-435-7941

1912363797 — ABIGAIL ANGELICA PAYNE LMP
Practice Location Address:

5700 172ND ST NE STE B
ARLINGTON, WA
98223-7742

Practice Phone: 360-572-3052
Practice Fax: 360-435-7941

1730536400 — DR. RACHEL BURRINGTON DNP, ARNP, FNP-BC
Practice Location Address:

5700 172ND ST NE STE B
ARLINGTON, WA
98223-7742

Practice Phone: 360-435-3985
Practice Fax: 360-435-7941

Directions to “ MS. LARISA MARIE THOMAS MSW, LSWAIC, SUDP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.