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

Jessica Street, LCSW

Individual provider Clinical Social Worker · NPI 1225792450

Jessica Street, LCSW is a Clinical Social Worker in Manchester, Missouri. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
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

128 Enchanted Pkwy Ste 100
Manchester, MO 63021-5492
Phone: (636) 345-4056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 2023044757 (MO)

Record details

NPI number1225792450
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 25, 2021
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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