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RACHEL SPRUNGER LCSW
NPI 1306192620
Social Worker - Clinical in Pittsburgh, PA

Active since July 24, 2012PECOS Enrolled
249 EDGEWOOD AVE # 1043, PITTSBURGH, PA 15218(412) 345-3014 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 2, 2022, Feb 6, 2017 (2 updates tracked since 2017).

About Rachel Sprunger Lcsw NPPES

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

RACHEL SPRUNGER LCSW (NPI 1306192620) is an individual clinical provider in Pittsburgh, Pennsylvania, licensed in Connecticut (8887) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306192620
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHEL SPRUNGERCredential: LCSW
Location Address249 EDGEWOOD AVE # 1043Pittsburgh, PA 15218-1595
Mailing Address249 Edgewood Ave # 1043Pittsburgh, PA 15218-1595 · (412) 345-3014
Phone(412) 345-3014
Sole ProprietorYes
Enumeration DateJuly 24, 2012
Last NPPES UpdateApril 19, 20232 updates tracked since enumeration
NPPES CertifiedApril 19, 2023
✔ NPI 1306192620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in CT · 8887✔ Licensed in PA · CW020198
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.
249 EDGEWOOD AVE # 1043, Pittsburgh, PA 15218
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachel Sprunger Lcsw 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 Reassignment

Medicare enrollment records show Rachel Sprunger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
1,010 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 833 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 15218 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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 Rachel Sprunger's NPI number?

The NPI number for Rachel Sprunger is 1306192620. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is Rachel Sprunger located?

Rachel Sprunger practices at 249 Edgewood Ave # 1043, Pittsburgh, PA 15218. The listed phone number is (412) 345-3014.

What is Rachel Sprunger's specialty?

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

Is Rachel Sprunger enrolled in Medicare?

Yes. Rachel Sprunger is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachel Sprunger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachel Sprunger reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Rachel Sprunger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rachel Sprunger was last updated on April 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.