Individual provider Active NPI

Rachel Marie Reifenberger, LICSW

  • Clinical Social Worker
  • Minnetonka, MN
National Provider Identifier
1982300950
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27286 Issued in MN
Practice address
5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Phone
(952) 932-7277
Fax
(952) 932-9827
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 27286 MN Primary

Addresses

Primary practice location

5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157

Mailing address

5125 County Road 101 Ste 300
Minnetonka, MN 55345-4157
Phone (952) 932-7277

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
I20240124003685 MN Practitioner - Clinical Social Worker 6709239981 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Cabot Psychological Services, PLLCGroup PAC ID 9739203167, 13 clinicians

Practice addresses (Care Compare)

7301 Ohms LN
Suite 450
Edina, MN 55439-2339
Phone (952) 831-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27286MNMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relate Inc CurrentSince Jan 10, 2024 Accepting new patients
Cabot Psychological Services, PLLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

7700 Equitable Dr
Ste 100
Eden Prairie, MN 55344

7301 Ohms Ln
Ste 450
Minneapolis, MN 55439
Phone (952) 831-2000

5125 County Road 101
Ste 300
Minnetonka, MN 55345
Phone (763) 241-3400

Organizations & group practices 2

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1982300950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5125 COUNTY ROAD 101 STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5125 COUNTY ROAD 101 STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454157",
            "telephone_number": "952-932-7277",
            "fax_number": "952-932-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFENBERGER",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "27286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

Verify at the official NPI Registry.