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MS. JENNIFER MARIE MALLIS MSW, LCSW, QS
NPI 1093166530
Social Worker - Clinical in Ponte Vedra Beach, FL

Active since June 27, 2016
174 ISLAND HARBOR CIR, PONTE VEDRA BEACH, FL 32082(904) 923-2108 Get Directions Write a Review

NPPES record last updated: September 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 17, 2020, Jun 27, 2016 (2 updates tracked since 2016).

About Ms. Jennifer Marie Mallis Msw, Lcsw, Qs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER MARIE MALLIS MSW, LCSW, QS (NPI 1093166530) is an individual clinical provider in Ponte Vedra Beach, Florida, licensed in Florida (14978) and active in the NPI registry since June 2016. She maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1093166530
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER MARIE MALLISCredential: MSW, LCSW, QS
Location Address174 ISLAND HARBOR CIRPonte Vedra Beach, FL 32082-1215
Mailing Address174 Island Harbor CirPonte Vedra Beach, FL 32082-1215 · (904) 923-2108
Phone(904) 923-2108
Sole ProprietorYes
Enumeration DateJune 27, 2016
Last NPPES UpdateSeptember 17, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2020
✔ NPI 1093166530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in FL · 14978
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
174 ISLAND HARBOR CIR, Ponte Vedra Beach, FL 32082
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Secondary Practice Location 1

Location 111821 Remsen RdJacksonville, FL 32223-0730 · Phone (904) 321-9448

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Mallis's NPI number?

The NPI number for Jennifer Mallis is 1093166530. It was assigned to this individual provider in the NPPES registry on June 27, 2016.

Where is Jennifer Mallis located?

Jennifer Mallis practices at 174 Island Harbor Cir, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 923-2108.

What is Jennifer Mallis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Jennifer Mallis accept?

Health plans from Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Jennifer Mallis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Mallis was last updated on September 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.