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Keenan Mallory, LCSW
NPI 1639406614 · Clinical Social Worker · Melbourne, FL
Keenan Mallory, LCSW is a Clinical Social Worker provider in Melbourne, FL (NPI 1639406614).
Provider details
- NPI number
- 1639406614
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 9266 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
1900 S Harbor City Blvd
Melbourne, FL 32901-4749
Phone: (321) 514-5048
Fax: (321) 610-8880
Street-level locationGet directions
Mailing address
2571 Stratford Pointe Dr
West Melbourne, FL 32904-8058
Registry dates
- Enumerated
- 2009-11-11
- Last updated
- 2009-11-11
Frequently asked questions
- What is Keenan Mallory's NPI number?
- Keenan Mallory's National Provider Identifier (NPI) is 1639406614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keenan Mallory's specialty?
- Keenan Mallory is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Keenan Mallory located?
- Keenan Mallory's practice location on file with NPPES is 1900 S Harbor City Blvd, Melbourne, FL 32901-4749.
- What is Keenan Mallory's phone number?
- The practice phone number listed in the NPPES registry for Keenan Mallory is (321) 514-5048.
- Is Keenan Mallory's NPI active?
- Yes — Keenan Mallory's NPI (1639406614) is active in the NPPES registry as of the last update on 2009-11-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.