Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN M MELLIS, LCSW
Active Sole ProprietorJACQUELYN M MELLIS, LCSW is a Clinical Social Worker healthcare provider located in WILDWOOD, Missouri. NPI 1154959336 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · WILDWOOD, MO
Registration Details
- NPI Number
- 1154959336
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2020 (6.3270864645623 yrs)
- Last Updated
- Apr 20, 2020
- License
-
001252 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2634 HWY 109SUITE EWILDWOOD, MO, 63040Browse MO providers · Browse ZIP 63040
- Phone
- 3143846534
- Fax
- 6362749332
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in WILDWOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE ELIZABETH OTTINGER | MSW, LCSW | 1902093032 |
| ERIN C KELLER | — | 1427292556 |
| ROSE MARIE BERNARDEZ | MSW, LCSW | 1104108737 |
| KATHERINE P WILLIAMS | MSW, LCSW | 1164797387 |
| ERICA ROSEN-MCGINNIS | LCSW | 1396153417 |
| MS. SALLY KOESTERER | MSW, LCSW, CEAP | 1104332642 |
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.