Community Health Workers (CHWs) serve an indispensable but oftten misunderstood and unrecognized role in public health. These individuals constitute the frontline of health care in many communities and are relied upon to provide an assortment of services. Unfortunately, the full extent to which CHWs are utilized is unknown and there is little information about their specific training needs. Further, extensive research on the common tasks performed by CHWs is limited. In order to better understand the specialized role of CHWs in public health, a statewide assessment of existing CHWs and those who employ CHWs was conducted in Missouri. A sample of 155 employed or volunteer CHWs and representatives from 36 health-related agencies completed a questionnaire assessing the professional roles of CHWs, as well as their perceived value in public health and professional development necessities. The results indicated that CHWs operate all over Missouri and commonly serve uninsured and low income populations by connecting people with needed health services. Participants cited diabetes, hypertension, nutrition, and physical activity as frequently addressed health concerns even though many have not been formally trained on these topics. Free and easily accessible educational materials will be needed to address the deficiencies in training among CHWs in the future.