Individual provider Active NPI

Rachel A Wethers, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1497943666
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2010005990 Issued in MO
Practice address
916A Bates St
Saint Louis, MO 63111-2116
Phone
(314) 882-0828
Fax
(314) 492-4131
NPI assigned
Oct 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.013862 IL
Clinical Social Worker 1041C0700X 2010005990 MO Primary

Addresses

Primary practice location

916A Bates St
Saint Louis, MO 63111-2116

Mailing address

916A Bates St
Saint Louis, MO 63111-2116
Phone (314) 882-0828

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
I20211129001872 MO Practitioner - Clinical Social Worker 8224428644 Practice locations: Saint Louis, MO

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Saint Louis, MO 63111
Phone (314) 882-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.013862ILMDClinical Social Worker
2010005990MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1497943666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916A BATES ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112116",
            "telephone_number": "314-882-0828",
            "fax_number": "314-492-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916A BATES ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112116",
            "telephone_number": "314-882-0828",
            "fax_number": "314-492-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERS",
        "first_name": "RACHEL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013862",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2010005990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.