Individual provider Active NPI

Ritika Chand-Bergfeld, MSW, LMSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1063174795
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020033706 Issued in MO
Practice address
9200 Watson Rd Ste G101
Saint Louis, MO 63126-1528
Phone
(314) 544-3800
Fax
(314) 843-0552
NPI assigned
Oct 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X 2020033706 MO Primary

Addresses

Primary practice location

9200 Watson Rd Ste G101
Saint Louis, MO 63126-1528

Mailing address

103 W Lockwood Ave Ste 203
Saint Louis, MO 63119-2945
Phone (314) 518-6165

Other practice location 1

103 W Lockwood Ave Ste 203
Saint Louis, MO 63119-2945
Phone (314) 518-6165

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020033706MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Counseling Inc CurrentSince Feb 6, 2022 Accepting new patients
Catholic Family Services Inc. PastSince Feb 6, 2022 Accepting new patients

Locations

9200 Watson Rd
Ste G101
Saint Louis, MO 63126
Phone (314) 367-5500

Organizations & group practices 2

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": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1063174795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W LOCKWOOD AVE STE 203",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192945",
            "telephone_number": "314-518-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 WATSON RD STE G101",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261528",
            "telephone_number": "314-544-3800",
            "fax_number": "314-843-0552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 W Lockwood Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631192945",
            "country_code": "US",
            "telephone_number": "314-518-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAND-BERGFELD",
        "first_name": "RITIKA",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-11",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020033706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.