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

Jessie Tavares

Individual provider Clinical Social Worker · NPI 1487416210

Jessie Tavares is a Clinical Social Worker in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024

Practice location Address checks out

620 N Grand Blvd
Saint Louis, MO 63103-1009
Phone: (314) 385-9502
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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 2018031765 (MO)

Record details

NPI number1487416210
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 26, 2024
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

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