MEDICARE: MADELEINE RACKERS MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1043932742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELEINE RACKERS MSW

Provider Business Mailing Address
First Line	:	170 S LINCOLN ST STE 150
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-4443
Country	:	US
Telephone Number	:	509-425-0350
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 S LINCOLN ST STE 150
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99201-4443
Country	:	US
Telephone Number	:	509-425-0350
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	04/25/2024

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Directions to “ MADELEINE RACKERS MSW” Practice Location

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