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RACHAEL CHRISTINA MCPHERON LISW-S
NPI 1710382098
Social Worker - Clinical in Youngstown, OH

Active since October 28, 2014PECOS EnrolledAccepts Medicare Assignment
725 BOARDMAN CANFIELD RD # I1, YOUNGSTOWN, OH 44512(330) 330-8655 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rachael Christina Mcpheron Lisw-s NPPES

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

RACHAEL CHRISTINA MCPHERON LISW-S (NPI 1710382098) is an individual clinical provider in Youngstown, Ohio, licensed in Ohio (I.1800873) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1710382098
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRACHAEL CHRISTINA MCPHERONCredential: LISW-S
Location Address725 BOARDMAN CANFIELD RD # I1Youngstown, OH 44512-4380
Mailing Address725 Boardman Canfield Rd # I1Youngstown, OH 44512-4380 · (330) 330-8655
Phone(330) 330-8655
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 28, 2014
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1710382098 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 OH · I.1800873
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.
725 BOARDMAN CANFIELD RD # I1, Youngstown, OH 44512
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Rachael Christina Mcpheron Lisw-s 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 ID4385066505
PECOS Enrollment IDI20200617000342
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 Rachael Mcpheron reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rajendra P Koirala, M.D., LLC
0.1 mi
Psychiatry
725 BOARDMAN CANFIELD RD STE L1
Youngstown, OH 44512
  • Reassigned Medicare billing, Ohio enrollment
  • 37 clinicians in this Medicare group
NPI 1760977177 (234) 254-0612

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 44512 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 $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 Rachael Mcpheron's NPI number?

The NPI number for Rachael Mcpheron is 1710382098. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Rachael Mcpheron located?

Rachael Mcpheron practices at 725 Boardman Canfield Rd # I1, Youngstown, OH 44512. The listed phone number is (330) 330-8655.

What is Rachael Mcpheron's specialty?

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

Is Rachael Mcpheron enrolled in Medicare?

Yes. Rachael Mcpheron is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Rachael Mcpheron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Mcpheron reassigns Medicare benefits to Rajendra P Koirala, M.D., LLC (Youngstown, OH). 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 Rachael Mcpheron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Mcpheron accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Rachael Mcpheron 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 Mcpheron was last updated on September 14, 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.