RACHAEL A WOLDSTAD LICSW
NPI 1104699438
Social Worker - Clinical in Seattle, WA

Active since October 30, 2023PECOS Enrolled
12721 30TH AVE NE STE 101, SEATTLE, WA 98125(206) 417-0326(206) 417-0783 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Oct 30, 2023 (2 updates tracked since 2023).

About Rachael A Woldstad Licsw NPPES

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

RACHAEL A WOLDSTAD LICSW (NPI 1104699438) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61460620) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104699438
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHAEL A WOLDSTADCredential: LICSW
Location Address12721 30TH AVE NE STE 101Seattle, WA 98125-4498
Mailing Address1200 12th Ave S Ste 901Seattle, WA 98144-2712
Fax(206) 417-0783
Sole ProprietorYes
Enumeration DateOctober 30, 2023
Last NPPES UpdateMay 12, 20262 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1104699438 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 · LW61460620
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.
12721 30TH AVE NE STE 101, Seattle, WA 98125

Secondary Practice Locations 2

Location 1226 6th St Apt 404Snohomish, WA 98290-2567 · Phone (425) 760-2740
Location 212800 Bothell Everett HwyEverett, WA 98208-6642 · Phone (425) 760-2740

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael A Woldstad Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Rachael Woldstad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
12736 33RD AVE NE, SUITE 200
Seattle, WA 98125
  • Reassigned Medicare billing, Washington enrollment
  • 292 clinicians in this Medicare group
Family Medicine
16708 BOTHELL-EVERETT HIGHWAY, SUITE 201
Mill Creek, WA 98012
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98125 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Family)
12721 30TH AVE NE STE 101
SEATTLE, WA 98125
Nurse Practitioner (Family)
12721 30TH AVE NE STE 101
SEATTLE, WA 98125
Internal Medicine
12721 30TH AVE NE STE 101
SEATTLE, WA 98125
Family Medicine
12721 30TH AVE NE STE 101
SEATTLE, WA 98125

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 Rachael Woldstad's NPI number?

The NPI number for Rachael Woldstad is 1104699438. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Where is Rachael Woldstad located?

Rachael Woldstad practices at 12721 30th Ave NE Ste 101, Seattle, WA 98125. The listed phone number is (206) 417-0326.

What is Rachael Woldstad's specialty?

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

Is Rachael Woldstad enrolled in Medicare?

Yes. Rachael Woldstad is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rachael Woldstad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Woldstad reassigns Medicare benefits to 2 organizations: Neighborcare Health (Seattle, WA) and Providence Health & Services- Washington (Mill Creek, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachael Woldstad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Woldstad accept?

Health plans from Ambetter Health and Providence Health Plan list Rachael Woldstad 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 Rachael Woldstad was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.