Individual provider Active NPI

Rachel Krueger, LGSW

  • Clinical Social Worker
  • Roseville, MN
National Provider Identifier
1992543136
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26543 Issued in MN
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

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26543MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transcendence Psychological Services and Wellness LLC Social Worker CurrentSince Jul 21, 2024 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.

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.

Verify at the official NPI Registry.