RACHEL COLEMAN LICSW
NPI 1497389910
Social Worker - Clinical in Spokane, WA

NPI Status: Active since February 24, 2020

Contact Information

400 E 5TH AVE
SPOKANE, WA
ZIP 99202
Phone: (509) 838-2531

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  • Individual
  • Female
  • Years of Experience 26
  • Social Worker
  • Clinical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About RACHEL COLEMAN

This page provides the complete NPI Profile along with additional information for Rachel Coleman, a provider established in Spokane, Washington with a medical specialization in Social Worker, focusing in clinical and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1497389910 assigned on February 2020. The practitioner's primary taxonomy code is 1041C0700X with license number LW60034769 (WA). The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1497389910
Provider Name
RACHEL COLEMAN LICSW
Gender
Female
Entity Type
Individual
Location Address
400 E 5TH AVE SPOKANE, WA 99202
Location Phone
(509) 838-2531
Mailing Address
400 E 5TH AVE SPOKANE, WA 99202
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
02-24-2020
Last Update Date
04-15-2020
Code Navigator

A clinical social worker like Rachel Coleman is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
LW60034769
License State
WA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

LW60034769 (WA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Rachel Coleman is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Rachel Coleman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2365872553

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20200501001471

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychiatric diagnostic evaluation

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

This service was performed 26 times for 25 patients

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 199 times for 33 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $17.82 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 99202 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $57.27
  • Maximum New Patient Price $172.8
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.31
  • Maximum New Patient Copayment $43.2

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.29
  • Minimum Established Patient Price $18.56
  • Maximum Established Patient Price $141.11
  • Average Established Patient Copayment $17.82
  • Minimum Established Patient Copayment $4.64
  • Maximum Established Patient Copayment $35.27

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for RACHEL COLEMAN LICSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1497389910
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24187681892
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 6 + 8 + 1 + 8 + 9 + 2 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1497389910 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1366445702DR. JOSELEETO CHUA M.D.
Individual
Psychiatry & Neurology (Neurology)400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1174525802 SCOT L BRADLEY MD
Individual
Internal Medicine (Pulmonary Disease)400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1033111414 SARAH E D'HULST MD
Individual
Pediatrics400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1922000306 WILLIAM J DUBIEL MD
Individual
Radiology (Diagnostic Radiology)400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1902808363 KYLE L COLVIN MD
Individual
Radiology (Diagnostic Radiology)400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1558353433 RICHARD A FROST DPM
Individual
Podiatrist400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1568454312 LYNN G LAGERQUIST MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1497747810 STEPHEN R LUBER MD
Individual
Pediatrics400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1053303487 MICHAEL A BRADY PA-C
Individual
Physician Assistant400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1508858911 LAURENCE A. BABB PA-C
Individual
Physician Assistant400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1619969045 MARK R BASSETT MD
Individual
Otolaryngology400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1568454817 PAUL N GRUBB MD
Individual
Pediatrics400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1669465944 ELIZABETH D MORNIN MD
Individual
Internal Medicine400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1063405322 JOSEPH E MARIANI PA
Individual
Physician Assistant400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1326031584 JOSEPH T MICHELS MD
Individual
Internal Medicine400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1508859885 GEORGE R MONKMAN MD
Individual
Orthopaedic Surgery400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1619960937 TATIANA N PONOMARENKO ARNP
Individual
Nurse Practitioner400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1386637320 MARY BETH SHERWOOD RD, CDE
Individual
Dietitian, Registered400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1447243597 MICHAEL W SCHUCKER PA-C
Individual
Physician Assistant400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531
1477546554 MICHAEL S WUKELIC MD
Individual
Internal Medicine400 E 5TH AVE
SPOKANE, WA 99202
(509) 838-2531

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497389910, enumerated in the NPI registry as an "individual" on February 24, 2020

The provider is located at 400 E 5th Ave Spokane, Wa 99202 and the phone number is (509) 838-2531

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider has more than 26 years of experience.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Medicare beneficiaries should expect a typical cost of $0 with an average copayment of $0 for new patient appointments. Established patients should expect a typical charge of $71.29 and an average copayment of 17.82. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Psychiatric diagnostic evaluation and Psychotherapy, 45 minutes.

This NPI record was last updated on February 24, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.