Individual provider · Type 1 NPI

Jessica Mellen

Clinical Social Worker · Kalamazoo, MI

NPI number 1730011370 Active

Practice location

4328 W Michigan Ave
Kalamazoo, MI 49006-5823

Mailing address

8031 Heritage Dr
Kalamazoo, MI 49009-9662

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6851120067 (MI)

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 1730011370

Jessica Mellen's National Provider Identifier is 1730011370, issued on May 29, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Kalamazoo, MI. The record was last updated on May 29, 2026.