Active NPI
Rachel J Welch, LCSW
- Clinical Social Worker
- Saint Louis, MO
National Provider Identifier
1255088779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2021044512
- Practice address
- 11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966 - Phone
- (314) 898-0102
- Fax
- (314) 842-2552
- NPI assigned
- Mar 4, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2021044512 | MO | Primary |
Addresses
Primary practice location
11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Mailing address
2650 Olive St
Saint Louis, MO 63103-1489
Phone (314) 371-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021044512 | MO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Provident Inc. | Current | Accepting new patients | |
| Provident Inc | Past | Accepting new patients |
Locations
11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647
2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500
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.
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1710023791
-
- Mental Health Counselor
- Saint Louis, MO
- NPI 1043491020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705363200000",
"number": "1255088779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 OLIVE ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031489",
"telephone_number": "314-371-6500",
"fax_number": "314-842-2552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11166 TESSON FERRY RD STE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236966",
"telephone_number": "314-898-0102",
"fax_number": "314-842-2552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELCH",
"first_name": "RACHEL",
"middle_name": "J",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-04",
"last_updated": "2024-01-16",
"certification_date": "2024-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MO",
"license": "2021044512",
"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 Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.