Individual provider Active NPI

Henriette Christine Fruhauf, L.C.S.W.

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1194885343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004688 Issued in MO
Practice address
745 Old Frontenac SQ
Suite 201
Saint Louis, MO 63131-2754
Phone
(314) 993-2025
Fax
(314) 993-5424
NPI assigned
Dec 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 004688 MO Primary

Addresses

Primary practice location

745 Old Frontenac SQ
Suite 201
Saint Louis, MO 63131-2754

Mailing address

5595 Waterman Blvd # B
Saint Louis, MO 63112-1818
Phone (314) 367-0680

Other names 1

  • Hannecristl Fruhauf Professional name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
004688MOMDOccupational Therapy Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194885343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5595 WATERMAN BLVD # B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631121818",
            "telephone_number": "314-367-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLD FRONTENAC SQ",
            "address_2": "SUITE 201",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312754",
            "telephone_number": "314-993-2025",
            "fax_number": "314-993-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUHAUF",
        "first_name": "HENRIETTE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "004688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNECRISTL",
            "last_name": "FRUHAUF",
            "credential": "L.C.S.W",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Jul 8, 2007; 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.