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

Individual provider Clinical Social Worker · NPI 1902818602

Mr. Kevin Jacques Sr, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
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

1 Jefferson Barracks Rd
Saint Louis, MO 63125-4181
Phone: (314) 845-5040
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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 003060 (MO)

Record details

NPI number1902818602
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007

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