RACHEL SIDEBOTHAM LCSW
NPI 1124620265
Social Worker - Clinical in Syracuse, NY

Q: What is Rachel Sidebotham's NPI number?

The NPI number for Rachel Sidebotham is 1124620265. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Q: What is Rachel Sidebotham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rachel Sidebotham was last updated on May 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since November 13, 2020PECOS EnrolledAccepts Medicare Assignment

1045 JAMES ST, SYRACUSE, NY 13203(585) 746-6211 Get Directions Write a Review

NPPES record last updated: May 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2024, Nov 13, 2020 (2 updates tracked since 2020).

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About Rachel Sidebotham Lcsw NPPES

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

RACHEL SIDEBOTHAM LCSW (NPI 1124620265) is an individual clinical provider in Syracuse, New York, licensed in New York (097995) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124620265

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameRACHEL SIDEBOTHAMCredential: LCSW

Location Address1045 JAMES STSyracuse, NY 13203-2730

Mailing Address1045 James StSyracuse, NY 13203-2730

Phone(585) 746-6211

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 13, 2020

Last NPPES UpdateMay 4, 20252 updates tracked since enumeration

NPPES CertifiedMay 4, 2025

✔ NPI 1124620265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · 097995

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.

Also ListedSocial WorkerTaxonomy 104100000X · License 110973-01 (NY)

1045 JAMES ST, Syracuse, NY 13203

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel Sidebotham Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274079140

PECOS Enrollment IDI20240726003704

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

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

Canino Lcsw Psychotherapy PC

197 mi

Health Maintenance Organization

70 WASHINGTON ST, SUITE 3C
Brooklyn, NY 11201

Reassigned Medicare billing, New York enrollment
36 clinicians in this Medicare group

NPI 1225220072 (917) 543-1011

Valera Medical, P.C.

197 mi

Psychiatry

134 N 4TH ST
Brooklyn, NY 11249

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Valera Medical PC
315 clinicians in this Medicare group

NPI 1437782349 (646) 450-7748

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 13203 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 $54.87 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

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 20

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

ANDREA ROSA VERGARA LCSW

Social Worker (Clinical)