Individual provider Active NPI

Rachel Jean Coates-Campbell, LCSW

  • Clinical Social Worker
  • Westlake Village, CA
National Provider Identifier
1639298748
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW23882 Issued in CA
Practice address
4607 Lakeview Canyon Rd # 378
Westlake Village, CA 91361-4028
Phone
(805) 283-7181
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Clinical Social Worker 1041C0700X LCSW23882 CA Primary

Addresses

Primary practice location

4607 Lakeview Canyon Rd # 378
Westlake Village, CA 91361-4028

Mailing address

4607 Lakeview Canyon Rd # 378
Westlake Village, CA 91361-4028
Phone (805) 283-7181

Other names 1

  • Rachel Jean Coates Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190807000254 CA Practitioner - Clinical Social Worker 7618204132 Practice locations: Newbury Park, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW23882CAMDClinical Social Worker
23882CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soulh Kiki S Corner Corp PastSince Apr 21, 2024 Accepting new patients

Organizations & group practices 1

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1639298748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD # 378",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "805-283-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4607 LAKEVIEW CANYON RD # 378",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913614028",
            "telephone_number": "805-283-7181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATES-CAMPBELL",
        "first_name": "RACHEL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW23882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "COATES",
            "middle_name": "JEAN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.