Individual provider Active NPI

Rachel Freitag

  • Social Worker
  • Saint Louis, MO
National Provider Identifier
1497444541
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
2021044520 Issued in MO
Practice address
12801 Flushing Meadows Dr Ste 110
Saint Louis, MO 63131-1829
Phone
(314) 907-0216
NPI assigned
May 4, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2021044520 MO Primary

Addresses

Primary practice location

12801 Flushing Meadows Dr Ste 110
Saint Louis, MO 63131-1829

Mailing address

12801 Flushing Meadows Dr Ste 110
Saint Louis, MO 63131-1829
Phone (314) 907-0216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260122001192 MO Practitioner - Clinical Social Worker 3476030354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1129 Macklind Ave
Saint Louis, MO 63110-1440
Phone 3145340200415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021044520MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2026 Accepting new patients
Zecarich Incorporated CurrentSince May 23, 2023 Accepting new patients
St. Louis Behavioral Medicine Institute Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

1129 Macklind Ave
Saint Louis, MO 63110
Phone (314) 534-0200

12801 Flushing Meadows Dr
Ste 110
Saint Louis, MO 63131
Phone (314) 907-0216

Organizations & group practices 3

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": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1497444541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12801 FLUSHING MEADOWS DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311829",
            "telephone_number": "314-907-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 FLUSHING MEADOWS DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311829",
            "telephone_number": "314-907-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREITAG",
        "first_name": "RACHEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2021044520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.