Individual provider Active NPI

Rana Helen Pullom, LCSW

  • Clinical Social Worker
  • Coeur D Alene, ID
National Provider Identifier
1295217495
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW61164016 Issued in WA
Practice address
1214 W Mill Ave # 10
Coeur D Alene, ID 83814-2446
Phone
(509) 768-6732
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 54487 MT
Clinical Social Worker 1041C0700X 1861160 ID
Clinical Social Worker 1041C0700X LW61164016 WA Primary

Addresses

Primary practice location

1214 W Mill Ave # 10
Coeur D Alene, ID 83814-2446

Mailing address

1214 W Mill Ave # 10
Coeur D Alene, ID 83814-2446
Phone (509) 768-6732

Other names 1

  • Rana Helen Garrett Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231107002882 WA Practitioner - Clinical Social Worker 5890142236 Reassigns benefits to 1 organization
I20251212003738 ID Practitioner - Clinical Social Worker 5890142236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Association of SpokaneGroup PAC ID 9638063217, 222 clinicians

Practice addresses (Care Compare)

3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
54487MTMDClinical Social Worker
LW61164016WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Association of Spokane CurrentSince Nov 11, 2025 Accepting new patients
Community Health Association of Spokane Social Worker CurrentSince Nov 11, 2025 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Community Health Association of Spokane CurrentSince Nov 11, 2025 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Frontier Behavioral Health Social Worker PastSince Aug 26, 1993 Accepting new patients

Locations

1534 Idaho St
Lewiston, ID 83501
Phone (208) 717-4823

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

5901 N Lidgerwood St
Ste 223
Spokane, WA 99208
Phone (509) 489-4763

1001 W 2nd Ave
Spokane, WA 99201
Phone (509) 835-1205

3919 N Maple St
Spokane, WA 99205
Phone (509) 326-6900

Interoperability endpoints

  • Direct secure messaging: rana.pullom.1@11411.direct.athenahealth.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1295217495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 W MILL AVE # 10",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142446",
            "telephone_number": "509-768-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 W MILL AVE # 10",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142446",
            "telephone_number": "509-768-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLOM",
        "first_name": "RANA",
        "middle_name": "HELEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "54487",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "1861160",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61164016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANA",
            "last_name": "GARRETT",
            "middle_name": "HELEN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.