Individual provider Active NPI

Elizabeth Reinberg, MSW, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1669759783
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
11166 Tesson Ferry Rd Ste 300
Saint Louis, MO 63123-6966
Phone
(314) 802-2647
Fax
(314) 842-2552
NPI assigned
Nov 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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 Primary
Social Worker 104100000X 2011036714 MO

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) 802-2647

Other practice location 1

2388 Schuetz Rd Ste A10
Saint Louis, MO 63146-3401
Phone (314) 898-0100

Other practice location 2

4525 Highway 109
Eureka, MO 63025-1248
Phone (636) 733-2191

Other practice location 3

4525 Highway 109
Eureka, MO 63025-1248
Phone (636) 733-2191

Other identifiers 1

IdentifierTypeStateIssuer
2016038354OtherMOSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181220003400 MO Practitioner - Clinical Social Worker 3779828660 Reassigns benefits to 1 organization
I20251023001100 IL Practitioner - Clinical Social Worker 3779828660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memory Care Home SolutionsGroup PAC ID 6608147418, 5 clinicians

Practice addresses (Care Compare)

4389 W Pine Blvd
Saint Louis, MO 63108-2205
Phone (314) 645-6247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011036714MOMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Care Home Solutions Social Worker CurrentSince Jul 24, 2024 Accepting new patients
Provident Inc. CurrentSince Nov 14, 2018 Accepting new patients
Provident Inc PastSince May 1, 2021 Accepting new patients

Locations

11166 Tesson Ferry Rd
Ste 300
Saint Louis, MO 63123
Phone (314) 802-2647

4389 W Pine Blvd
Saint Louis, MO 63108
Phone (314) 645-6247

2388 Schuetz Rd
Ste A10
Saint Louis, MO 63146
Phone (314) 802-2647

2650 Olive St
Saint Louis, MO 63103
Phone (314) 371-6500

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": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1669759783",
    "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": "314-802-2647",
            "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": "314-802-2647",
            "fax_number": "314-842-2552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2388 Schuetz Rd Ste A10",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631463401",
            "country_code": "US",
            "telephone_number": "314-898-0100",
            "fax_number": "314-993-2828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Highway 109",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630251248",
            "country_code": "US",
            "telephone_number": "636-733-2191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4525 Highway 109",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "MO",
            "postal_code": "630251248",
            "country_code": "US",
            "telephone_number": "636-733-2191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REINBERG",
        "first_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-03",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MO",
            "license": "2011036714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2016038354",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.