Individual provider Active NPI

Rachael Arnold, LCSW, PMH-C

  • Clinical Social Worker
  • Kirkwood, MO
National Provider Identifier
1083274484
Registry record updated Jul 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2018028130 Issued in MO
Practice address
12166 Old Big Bend Rd Ste 315
Kirkwood, MO 63122-6836
Phone
(314) 274-1102
Fax
(314) 279-8201
NPI assigned
Jun 18, 2019
Last updated
Jul 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2023

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 2018028130 MO Primary

Addresses

Primary practice location

12166 Old Big Bend Rd Ste 315
Kirkwood, MO 63122-6836

Mailing address

5148 Towne Centre Dr
Saint Louis, MO 63128-2743
Phone (314) 810-4353

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
2018028130MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Nest Therapy, LLC Clinical CurrentSince Sep 29, 2024 Accepting new patients

Locations

12166 Old Big Bend Rd
Ste 315
Kirkwood, MO 63122
Phone (314) 274-1102

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": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689379200000",
    "number": "1083274484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5148 TOWNE CENTRE DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282743",
            "telephone_number": "314-810-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12166 OLD BIG BEND RD STE 315",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631226836",
            "telephone_number": "314-274-1102",
            "fax_number": "314-279-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "RACHAEL",
        "credential": "LCSW, PMH-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-07-15",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2018028130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2023; 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.