Individual provider · Type 1 NPI
Jessie Tavares
Clinical Social Worker · St. Louis, MO
Practice location
620 N Grand Blvd
St. Louis, MO 63103-1009
Mailing address
2120 E Aventura Way Apt 3213
St. Louis, MO 63146-3093
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2018031765 (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 1487416210
Jessie Tavares's National Provider Identifier is 1487416210, issued on Jan 26, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Louis, MO. The record was last updated on Jan 26, 2024.