Individual provider · Type 1 NPI

Jessica Street, LCSW

Clinical Social Worker · Manchester, MO

NPI number 1225792450 Active

Practice location

128 Enchanted Pkwy Ste 100
Manchester, MO 63021-5492

Mailing address

7098 Briarwood Dr
Cedar Hill, MO 63016-3421

Other practice locations

  • 207 D St, South Charleston, WV 25303-3103 · (304) 887-2994

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2023044757 (MO)

Clinical Social Worker: 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 interpers…

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About NPI 1225792450

Jessica Street, LCSW's National Provider Identifier is 1225792450, issued on Oct 25, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, MO. The record was last updated on May 13, 2026.