Individual provider · Type 1 NPI
Jennifer Marie Mallis, MSW, LCSW, QS
Clinical Social Worker · Ponte Vedra Beach, FL
Practice location
174 Island Harbor Cir
Ponte Vedra Beach, FL 32082-1215
Other practice locations
- 11821 Remsen Rd, Jacksonville, FL 32223-0730 · (904) 321-9448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 14978 (FL) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1093166530
Jennifer Marie Mallis, MSW, LCSW, QS's National Provider Identifier is 1093166530, issued on Jun 27, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Ponte Vedra Beach, FL. The record was last updated on Sep 17, 2020.