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

Jessica P Fraser, LCSW

Individual provider Clinical Social Worker · NPI 1255668380

Jessica P Fraser, LCSW is a Clinical Social Worker in Ellisville, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2009.

Licensed in
IL, MO
In the registry since
2009
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

119 Clarkson Executive Park
Ellisville, MO 63011-2176
Phone: (636) 256-0600
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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 2008025665 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.012995 (IL)

Record details

NPI number1255668380
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 10, 2009
Last updated in NPPESApril 5, 2010

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