Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Rachel Sidebotham, LCSW

Individual provider Social Worker · NPI 1124620265

Rachel Sidebotham, LCSW is a Clinical Social Worker in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with Valera Medical PC, a 161-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2020
Specialties on file
3
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1045 James St
Syracuse, NY 13203-2730
Phone: (585) 746-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 097995 (NY)
Social Worker Taxonomy 104100000X · Licence 110973-01 (NY)
Social Worker Taxonomy 104100000X

Record details

NPI number1124620265
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 13, 2020
Last updated in NPPESMay 4, 2025
Certification dateMay 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Valera Medical Pc — 161 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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