Individual provider · Type 1 NPI

Kevin Jacques Sr., LCSW

Clinical Social Worker · St. Louis, MO

NPI number 1902818602 Active

Practice location

1 Jefferson Barracks Rd
St. Louis, MO 63125-4181

Call (314) 845-5040 Map

Mailing address

530 Cornell Ave
St. Louis, MO 63119-1771

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X003060 (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 1902818602

Kevin Jacques Sr., LCSW's National Provider Identifier is 1902818602, issued on Aug 12, 2006. 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 Jul 8, 2007.