Healthcare Provider Details

I. General information

NPI: 1225560618
Provider Name (Legal Business Name): RACHEL A GOSSELIN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 W 1ST AVE STE 216
SPOKANE WA
99201-4600
US

IV. Provider business mailing address

1325 W 1ST AVE STE 216
SPOKANE WA
99201-4600
US

V. Phone/Fax

Practice location:
  • Phone: 509-255-3638
  • Fax:
Mailing address:
  • Phone: 509-255-3638
  • Fax: 509-508-5118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSC70095258
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSC70095258
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: