KIM E RODGERS LICSW
NPI 1750889168
Social Worker - Clinical in Everett, WA

Active since January 31, 2018PECOS EnrolledAccepts Medicare Assignment
4201 RUCKER AVE, EVERETT, WA 98203(425) 382-4000(425) 382-4001 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kim E Rodgers Licsw NPPES

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

KIM E RODGERS LICSW (NPI 1750889168) is an individual clinical provider in Everett, Washington, licensed in Washington (LW60048741) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1750889168
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIM E RODGERSCredential: LICSW
Location Address4201 RUCKER AVEEverett, WA 98203-2215
Mailing Address8609 Evergreen WayEverett, WA 98208-2619 · (425) 789-3700
Fax(425) 382-4001
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 31, 2018
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
✔ NPI 1750889168 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 · LW60048741
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.
4201 RUCKER AVE, Everett, WA 98203

Accepted 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

Kim E Rodgers Licsw 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 ID8729412911
PECOS Enrollment IDI20191220001747
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 Kim Rodgers reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
8609 EVERGREEN WAY
Everett, WA 98208
  • Reassigned Medicare billing, Washington enrollment
  • 182 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 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 98203 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 $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

Dental Hygienist
4201 RUCKER AVE
EVERETT, WA 98203
Physician Assistant (Medical)
4201 RUCKER AVE
EVERETT, WA 98203
Nurse Practitioner (Family)
4201 RUCKER AVE
EVERETT, WA 98203
Family Medicine
4201 RUCKER AVE
EVERETT, WA 98203
Family Medicine
4201 RUCKER AVE
EVERETT, WA 98203
Family Medicine
4201 RUCKER AVE
EVERETT, WA 98203
Dental Hygienist
4201 RUCKER AVE
EVERETT, WA 98203
Dental Hygienist
4201 RUCKER AVE
EVERETT, WA 98203

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 Kim Rodgers's NPI number?

The NPI number for Kim Rodgers is 1750889168. It was assigned to this individual provider in the NPPES registry on January 31, 2018.

Where is Kim Rodgers located?

Kim Rodgers practices at 4201 Rucker Ave, Everett, WA 98203. The listed phone number is (425) 382-4000.

What is Kim Rodgers's specialty?

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

Is Kim Rodgers enrolled in Medicare?

Yes. Kim Rodgers 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 organizations bill Medicare for Kim Rodgers's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Rodgers reassigns Medicare benefits to 2 organizations: Community Health Center Of Snohomish County (Everett, WA) and Mindful Therapy Group PC (Mountlake Terrace, 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 Kim Rodgers's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kim Rodgers accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Kim Rodgers 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 Kim Rodgers was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.