MEDICARE: RACHEL E NEUKIRCH MSW, LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	005345	MO

General Provider Information

NPI Number	:	1134244205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL E NEUKIRCH MSW, LCSW

Provider Business Mailing Address
First Line	:	9445 LITZSINGER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2113
Country	:	US
Telephone Number	:	314-968-2350
Fax Number	:	314-968-4239

Provider Business Practice Location Address
First Line	:	9445 LITZSINGER RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63144-2113
Country	:	US
Telephone Number	:	314-968-2350
Fax Number	:	314-968-4239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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