Individual provider Active NPI

Susan Elizabeth Rau Fritts, LICSW

  • Clinical Social Worker
  • Saint Paul, MN
National Provider Identifier
1922200419
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13739 Issued in MN
Practice address
1165 Arcade St
Saint Paul, MN 55106-2615
Phone
(651) 772-5555
Fax
(651) 772-5656
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 13739 MN Primary

Addresses

Primary practice location

1165 Arcade St
Saint Paul, MN 55106-2615

Mailing address

1421 Hartford Ave
Saint Paul, MN 55116-1668
Phone (651) 698-1791

Other names 1

  • Susan Elizabeth Rau Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200615001532 MN Practitioner - Clinical Social Worker 9931521234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virta Therapy Collective LLC Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

209 Snelling Ave N
Saint Paul, MN 55104
Phone (608) 709-8986

Organizations & group practices 1

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": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1922200419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 HARTFORD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161668",
            "telephone_number": "651-698-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 ARCADE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062615",
            "telephone_number": "651-772-5555",
            "fax_number": "651-772-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAU FRITTS",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "RAU",
            "middle_name": "ELIZABETH",
            "credential": "LICSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.