DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. JENNIFER MARIE MALLIS, MSW, LCSW, QS

Active Sole Proprietor

MS. JENNIFER MARIE MALLIS, MSW, LCSW, QS is a Clinical Social Worker healthcare provider located in PONTE VEDRA BEACH, Florida. NPI 1093166530 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PONTE VEDRA BEACH, FL

Registration Details

NPI Number
1093166530
Provider Type
Individual
Gender
Female
NPI Issued
Jun 27, 2016 (10.094179278097 yrs)
Last Updated
Sep 17, 2020
License
14978 (FL)
Sole Proprietor
Yes

Practice Information

Address
174 ISLAND HARBOR CIR
PONTE VEDRA BEACH, FL, 320821215
Browse FL providers · Browse ZIP 32082
Phone
9049232108
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in PONTE VEDRA BEACH, FL

Name Credential NPI
CYNTHIA GEDDES LCSW 1366558389
MS. JANE YOUNG HILL L.C.S.W., D.C.S.W. 1265539555
DEBORAH D. HANNA LCSW 1033208996
TRACYE ANN POLSON L.C.S.W. 1801028295
MS. KELLI ELDER CUTRIGHT LCSW 1386009918
AMY POPE-LATHAM LCSW 1467944058
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.