Kevin Jacques Sr. in Saint Louis - Clinical
Kevin Jacques Sr. - NPI 1902818602
Kevin Jacques Sr. is a Clinical in Saint Louis, Missouri. Kevin Jacques Sr. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kevin Jacques Sr. is 1902818602. The last update date is 2007-07-08.
Kevin Jacques Sr.'s current location address is 530 Cornell Ave, Saint Louis, Missouri. You can contact this provider via phone number 3149625463. The mailing address for Kevin Jacques Sr. is 530 Cornell Ave, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jacques Sr. |
|---|---|
| Address | 530 Cornell Ave, Saint Louis, Missouri |
| Phone Number | 3149625463 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1902818602 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 530 Cornell Ave |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631191771 |
| Phone Number | 3149625463 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 3060 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Kevin Jacques Sr. by the Centers for Medicare & Medicaid Services?
The Kevin Jacques Sr. has been assigned the NPI (National Provider Identifier) 1902818602. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kevin Jacques Sr. is physically located?
The Kevin Jacques Sr. is situated at the following address: 530 Cornell Ave, Saint Louis, MO 631191771.
What is Kevin Jacques Sr.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Kevin Jacques Sr.'s area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
When was the Kevin Jacques Sr.'s 1902818602 issued?
The Kevin Jacques Sr.'s 1902818602 was issued on 2006-08-12.
When was the information pertaining to Kevin Jacques Sr. most recently updated or revised?
The details related to Kevin Jacques Sr., including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.