MR. JEFFREY RAICH LICSW
NPI 1093045965
Social Worker - Clinical in Saint Paul, MN

Q: What is Jeffrey Raich's NPI number?

The NPI number for Jeffrey Raich is 1093045965. It was assigned to this individual provider in the NPPES registry on December 28, 2009.

Q: What is Jeffrey Raich's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Raich was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2009PECOS Enrolled

871 JEFFERSON AVE, SAINT PAUL, MN 55102(651) 408-5069(855) 407-1613 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2021, Feb 2, 2020 (2 updates tracked since 2020).

On this page

About Mr. Jeffrey Raich Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY RAICH LICSW (NPI 1093045965) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (18483) and active in the NPI registry since December 2009. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093045965

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. JEFFREY RAICHCredential: LICSW

Location Address871 JEFFERSON AVESaint Paul, MN 55102-2506

Mailing Address871 Jefferson AveSaint Paul, MN 55102-2506 · (651) 408-5069 · Fax (855) 407-1613

Phone(651) 408-5069

Fax(855) 407-1613

Sole ProprietorYes

Enumeration DateDecember 28, 2009

Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration

NPPES CertifiedMarch 12, 2021

✔ NPI 1093045965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MN · 18483

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

871 JEFFERSON AVE, Saint Paul, MN 55102

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Secondary Practice Locations 2

Location 111070 Bailey RdWoodbury, MN 55129-9692 · Phone (651) 456-8912

Location 24748 Chicago Ave Ste 5Minneapolis, MN 55407-4320 · Phone (651) 408-5069 · Fax (855) 407-1613

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeffrey Raich Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VICENTA DEL CARMEN VALERO-JAROZEWSKI LPCC, LADC

Counselor (Mental Health)