IndividualActive
Jacquelyn Mellis, LCSW
NPI 1154959336 · Clinical Social Worker · Wildwood, MO
Jacquelyn Mellis, LCSW is a Clinical Social Worker provider in Wildwood, MO (NPI 1154959336).
Provider details
- NPI number
- 1154959336
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 001252 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2634 Hwy 109
Suite E
Wildwood, MO 63040
Phone: (314) 384-6534
Fax: (636) 274-9332
Street-level locationGet directions
Mailing address
8534 Sagamore Dr.
Cedar Hill, MO 63016
Registry dates
- Enumerated
- 2020-04-01
- Last updated
- 2020-04-20
- Certified
- 2020-04-20
Frequently asked questions
- What is Jacquelyn Mellis's NPI number?
- Jacquelyn Mellis's National Provider Identifier (NPI) is 1154959336, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacquelyn Mellis's specialty?
- Jacquelyn Mellis is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jacquelyn Mellis located?
- Jacquelyn Mellis's practice location on file with NPPES is 2634 Hwy 109, Wildwood, MO 63040.
- What is Jacquelyn Mellis's phone number?
- The practice phone number listed in the NPPES registry for Jacquelyn Mellis is (314) 384-6534.
- Is Jacquelyn Mellis's NPI active?
- Yes — Jacquelyn Mellis's NPI (1154959336) is active in the NPPES registry as of the last update on 2020-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.