Individual provider · Type 1 NPI
Jonmeliah Mallory
Clinical Social Worker · St. Johns, FL
Practice location
106 Ren Way
St. Johns, FL 32259-9407
Mailing address
23 Rybar Ln
Palm Coast, FL 32164-6445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | TLS1030CP (SC) |
| Clinical Social Worker | 1041C0700X | CSW.09932419 (CO) |
| Clinical Social Worker Primary | 1041C0700X | 0904017115 (VA) |
| Clinical Social Worker | 1041C0700X | SW22218 (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 1639712896
Jonmeliah Mallory's National Provider Identifier is 1639712896, issued on Oct 21, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in St. Johns, FL. The record was last updated on Oct 6, 2026.