Jennifer Mallis, MSW, LCSW, QS
NPI 1093166530 · Clinical Social Worker · Ponte Vedra Beach, FL
Jennifer Mallis, MSW, LCSW, QS is a Clinical Social Worker provider in Ponte Vedra Beach, FL (NPI 1093166530).
Provider details
- NPI number
- 1093166530
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSW, QS
- Sex
- Female
- Sole proprietor
- Yes
- License
- 14978 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 11821 Remsen RdJacksonville, FL 32223-0730Phone: (904) 321-9448
Registry dates
- Enumerated
- 2016-06-27
- Last updated
- 2020-09-17
- Certified
- 2020-09-17
Frequently asked questions
- What is Jennifer Mallis's NPI number?
- Jennifer Mallis's National Provider Identifier (NPI) is 1093166530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Mallis's specialty?
- Jennifer Mallis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jennifer Mallis located?
- Jennifer Mallis's practice location on file with NPPES is 174 Island Harbor Cir, Ponte Vedra Beach, FL 32082-1215.
- What is Jennifer Mallis's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Mallis is (904) 923-2108.
- Is Jennifer Mallis's NPI active?
- Yes — Jennifer Mallis's NPI (1093166530) is active in the NPPES registry as of the last update on 2020-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.