Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Hamilton McCoy, LMSW

Individual provider Clinical Social Worker · NPI 1275338956

Jack Hamilton McCoy, LMSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2025
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

418 Longfellow Ave
Saint Louis, MO 63122-3829
Phone: (314) 277-3839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2023048726 (MO)

Record details

NPI number1275338956
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedFebruary 17, 2025
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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