Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497289185 Individual Practitioner Female Practitioner

Lacey Marie Longwith

Peer Specialist • Raymond, WA

Professional Overview & Biography Verified Profile Summary

Lacey Longwith is a registered healthcare professional specializing in Peer Specialist in Raymond, WA. Practice services are available at 300 OCEAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

300 Ocean Ave

Raymond, WA 985773016

Telephone 3609422303
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Raymond, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Raymond, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-29
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Katie Wymore

Counselor - Mental Health

NPI 1073007043
Cassandra Hansen

Case Manager/Care Coordinator

NPI 1073016739
William Grimberg , LMHC

Counselor - Mental Health

NPI 1083847388

Licensed Mental Health Counselor

Diane Adams

Counselor - Professional

NPI 1093046088
Cymbre Lauing

Community/Behavioral Health

NPI 1306599055
Christina Thompson , AAC MHCM

Counselor - Mental Health

NPI 1346776275

AACMHCM

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 29, 2020

Registered at 300 OCEAN AVE, RAYMOND, WA 985773016 (Tel: 3609422303)

📍
Updated Business Mailing Address January 29, 2020

Registered at 300 OCEAN AVE, RAYMOND, WA 985773016 (Tel: 3609422303)

👤
Provider Name / Credentials Updated January 29, 2020

Recorded as LACEY LONGWITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2020

Peer Specialist

NPI Profile Active April 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 19, 2017

Registered at 8282 28TH CT NE STE A, LACEY, WA 985167162 (Tel: 3609156868)

📍
Updated Business Mailing Address April 19, 2017

Registered at 410 STATE ROUTE 6, RAYMOND, WA 985779691 (Tel: 3602084776)

👤
Provider Name / Credentials Updated April 19, 2017

Recorded as LACEY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2017

Behavior Analyst

🟢
Initial NPI Registration & Enumeration April 19, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497289185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 19, 2017
Last Update: January 29, 2020
Sole Proprietor: Yes

Mailing Address

300 Ocean Ave

Raymond, WA 985773016

Phone: 3609422303

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.