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

Marshall Jackson Group LLC

Organization Clinical Social Worker · NPI 1659670735

Marshall Jackson Group LLC provides Clinical Social Worker services in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2011.

Licensed in
MO
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1606 S Big Bend Blvd
Saint Louis, MO 63117-2208 Not confirmed with CMS for 15 years — call before visiting
Phone: (314) 645-1076
Fax: (314) 645-5135
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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 002365 (MO)

Record details

NPI number1659670735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michele Marshall-Moore — Owner · (314) 645-1075
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 15, 2011
Mailing address1606 S Big Bend Blvd, Saint Louis, MO 63117-2208

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