Rachael A Woldstad, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61460620 Issued in WA

Practice address

12721 30TH Ave NE Ste 101
Seattle, WA 98125-4498

Phone

(206) 417-0326

Fax

(206) 417-0783

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Providence Health & Services- Washington

  • General Practice Physician
  • Everett, WA
  • NPI 1124270715

  Clinical

  Medicare reassignment NPD
• Providence Health & Services - Washington

  • Neurological Surgery Physician
  • Everett, WA
  • NPI 1639468259
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1104699438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12721 30TH AVE NE STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981254498",
            "telephone_number": "206-417-0326",
            "fax_number": "206-417-0783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "226 6th St Apt 404",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982902567",
            "country_code": "US",
            "telephone_number": "425-760-2740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12800 Bothell Everett Hwy",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086642",
            "country_code": "US",
            "telephone_number": "425-760-2740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLDSTAD",
        "first_name": "RACHAEL",
        "middle_name": "A",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61460620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael G Woldeab
• Tsegaba Woldehaimanot
• Zufan Gebremichael Woldemariam
• Ruth Woldemicael, DMD
• Rachel Woldmo
• Amy Ivery Wolf, LMP
• Amy L Wolf, AU.D.
• Anique Wolf, B.SC.(PHARM)
• Daniel Eugene Wolf, D.O.
• Davida Wolf, LMP

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.