MEDICARE: ELIZABETH ANNE RICH 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	2026011081	MO

General Provider Information

NPI Number	:	1548093909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE RICH LCSW

Provider Business Mailing Address
First Line	:	12947 BARBEZIEUX DR
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-6103
Country	:	US
Telephone Number	:	314-689-8308
Fax Number	:

Provider Business Practice Location Address
First Line	:	12947 BARBEZIEUX DR
Second Line	:
City	:	CREVE COEUR
State	:	MO
Zip	:	63141-6103
Country	:	US
Telephone Number	:	314-689-8308
Fax Number	:

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

Provider Enumeration Date	:	08/21/2024
Last Update Date	:	03/19/2026

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