Individual provider Active NPI

Rachel Anne Heidenreich Lazar, MSW, LICSW

  • Clinical Social Worker
  • Duvall, WA
National Provider Identifier
1992396105
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC61101311 Issued in WA
Practice address
11904 Kelly Rd NE
Duvall, WA 98019-6509
Phone
(425) 773-4918
NPI assigned
Jan 30, 2021
Last updated
Feb 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SC61101311 WA Primary

Addresses

Primary practice location

11904 Kelly Rd NE
Duvall, WA 98019-6509

Mailing address

18406 215TH Way NE
Woodinville, WA 98077-7161
Phone (425) 773-4918

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL simplepractice.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Duvall, WA 98019
Phone (425) 773-4918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC61101311WAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Valley Counseling, LLC Clinical Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1611964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772236800000",
    "number": "1992396105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18406 215TH WAY NE",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980777161",
            "telephone_number": "425-773-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11904 KELLY RD NE",
            "city": "DUVALL",
            "state": "WA",
            "postal_code": "980196509",
            "telephone_number": "425-773-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDENREICH LAZAR",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-30",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "SC61101311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "simplepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13901 NE 175th St Ste C",
            "city": "Woodinville",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980728548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Duvall, WA

Sources for this page

Verify at the official NPI Registry.