Individual provider · Type 1 NPI
Jacquelyn M. Mellis, LCSW
Clinical Social Worker · Wildwood, MO
Practice location
2634 Hwy 109, Suite E
Wildwood, MO 63040
Fax (636) 274-9332
Mailing address
8534 Sagamore Dr.
Cedar Hill, MO 63016
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 001252 (MO) |
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 1154959336
Jacquelyn M. Mellis, LCSW's National Provider Identifier is 1154959336, issued on Apr 1, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wildwood, MO. The record was last updated on Apr 20, 2020.