Individual provider · Type 1 NPI

Nicole Jill Mallis

Clinical Social Worker · West Chester, PA

NPI number 1871253161 Active

Practice location

835 W Chester Pike
West Chester, PA 19382-4848

Mailing address

10 Mary Fran Dr
West Chester, PA 19382-6310

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCW022402 (PA)

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 1871253161

Nicole Jill Mallis's National Provider Identifier is 1871253161, issued on Dec 28, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Chester, PA. The record was last updated on May 6, 2026.