Active NPI
Rachel Krueger, LGSW
- Clinical Social Worker
- Roseville, MN
National Provider Identifier
1992543136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 26543
- Practice address
- 2489 Rice St Ste 180
Roseville, MN 55113-3795 - Phone
- (612) 314-3076
- Fax
- (651) 377-4363
- NPI assigned
- Jul 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 26543 | MN | Primary |
Addresses
Primary practice location
2489 Rice St Ste 180
Roseville, MN 55113-3795
Mailing address
1377 County Road E W
Saint Paul, MN 55112-3654
Phone (612) 314-3076
Other practice location 1
1377 County Road E W
Saint Paul, MN 55112-3654
Phone (612) 314-3076
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26543 | MN | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transcendence Psychological Services and Wellness LLC | Social Worker | Current | Accepting new patients |
Locations
2489 Rice St
Ste 180
Roseville, MN 55113
Phone (612) 314-3076
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.
-
- Mental Health Counselor
- Roseville, MN
- NPI 1952180515
Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1992543136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 COUNTY ROAD E W",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551123654",
"telephone_number": "612-314-3076",
"fax_number": "651-377-4363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2489 RICE ST STE 180",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551133795",
"telephone_number": "612-314-3076",
"fax_number": "651-377-4363"
}
],
"practiceLocations": [
{
"address_1": "1377 County Road E W",
"address_purpose": "LOCATION",
"city": "Saint Paul",
"state": "MN",
"postal_code": "551123654",
"country_code": "US",
"telephone_number": "612-314-3076",
"fax_number": "651-377-4363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "RACHEL",
"credential": "LGSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-19",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MN",
"license": "26543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.