Individual provider Active NPI

Jessica R Demoret, LCSW

  • Clinical Social Worker
  • Springfield, MO
National Provider Identifier
1689178113
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2020016207 Issued in MO
Practice address
630 W Kearney St
Springfield, MO 65803-2508
Phone
(417) 761-5000
NPI assigned
Mar 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2020016207 MO Primary

Addresses

Primary practice location

630 W Kearney St
Springfield, MO 65803-2508

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5214

Other names 1

  • Jessica Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180327001327 MO Practitioner - Clinical Social Worker 9335401652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1448 E 10TH St
Rolla, MO 65401-3648
Phone (844) 853-8937

1450 E 10TH St
Rolla, MO 65401-3648
Phone (888) 403-1071

403 W 6TH St
Rolla, MO 65401-3012
Phone (844) 853-8937

575 B Blues Lake Pkwy
Rolla, MO 65401-8587
Phone (844) 853-8937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020016207MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Dec 18, 2025 Accepting new patients
Burrell, Inc. CurrentSince Dec 18, 2025 Accepting new patients
Advocates for a Healthy Community, Inc. Past Accepting new patients

Locations

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1423 N Jefferson Ave
Ste D200
Springfield, MO 65802
Phone (417) 761-5820

630 W Kearney St
Springfield, MO 65803
Phone (417) 761-5300

Interoperability endpoints

  • Direct secure messaging: jessica.demoret.p1@direct.jordanvalley.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1689178113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5214",
            "fax_number": "417-761-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W KEARNEY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658032508",
            "telephone_number": "417-761-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMORET",
        "first_name": "JESSICA",
        "middle_name": "R",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2020016207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.