1. Home
  2. Directory
  3. Missouri
  4. Manchester
  5. Social Worker
  6. NPI Profile

JESSICA STREET LCSW
NPI 1225792450
Social Worker - Clinical in Manchester, MO

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment
128 ENCHANTED PKWY STE 100, MANCHESTER, MO 63021(636) 345-4056 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Street Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA STREET LCSW (NPI 1225792450) is an individual clinical provider in Manchester, Missouri, licensed in Missouri (2023044757) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in South Charleston, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1225792450
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA STREETCredential: LCSW
Location Address128 ENCHANTED PKWY STE 100Manchester, MO 63021-5492
Mailing Address7098 Briarwood DrCedar Hill, MO 63016-3421
Phone(636) 345-4056
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 25, 2021
Last NPPES UpdateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1225792450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MO · 2023044757
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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
128 ENCHANTED PKWY STE 100, Manchester, MO 63021
Open in Google Maps ↗

Secondary Practice Location 1

Location 1207 D StSouth Charleston, WV 25303-3103 · Phone (304) 887-2994

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia, Medica, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Street Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355862350
PECOS Enrollment IDI20250306002172
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.65 – $169.38
Typical copayment $0.00 (range $13.91 – $42.34)
Most-billed visit code NA
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Street's NPI number?

The NPI number for Jessica Street is 1225792450. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Jessica Street located?

Jessica Street practices at 128 Enchanted Pkwy Ste 100, Manchester, MO 63021. The listed phone number is (636) 345-4056.

What is Jessica Street's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Street enrolled in Medicare?

Yes. Jessica Street is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jessica Street accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia, Medica, Oscar Insurance Company and UnitedHealthcare list Jessica Street as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Street was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.