Individual provider Active NPI

Raffael Holz-Eckmann, LMSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1760204531
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2024043290 Issued in MO
Practice address
4469 Pershing Ave
Saint Louis, MO 63108-2507
Phone
(508) 651-6053
NPI assigned
Oct 31, 2024
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 2024043290 MO Primary
Clinical Social Worker 1041C0700X 130727-01 NY

Addresses

Primary practice location

4469 Pershing Ave
Saint Louis, MO 63108-2507

Mailing address

4469 Pershing Ave
Saint Louis, MO 63108-2507
Phone (508) 651-6053

Other practice location 1

255 15th St
Brooklyn, NY 11215-4988
Phone (718) 788-5101

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2024043290MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1760204531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4469 PERSHING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082507",
            "telephone_number": "508-651-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4469 PERSHING AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082507",
            "telephone_number": "508-651-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 15th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112154988",
            "country_code": "US",
            "telephone_number": "718-788-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLZ-ECKMANN",
        "first_name": "RAFFAEL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-10-31",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2024043290",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "130727-01",
            "primary": false
        }
    ],
    "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 Jul 17, 2026; 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.