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JACQUELYN M MELLIS LCSW
NPI 1154959336
Social Worker - Clinical in Wildwood, MO

Active since April 01, 2020
2634 HWY 109, SUITE E, WILDWOOD, MO 63040(314) 384-6534(636) 274-9332 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 20, 2020, Apr 1, 2020 (2 updates tracked since 2020).

About Jacquelyn M Mellis Lcsw NPPES

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

JACQUELYN M MELLIS LCSW (NPI 1154959336) is an individual clinical provider in Wildwood, Missouri, licensed in Missouri (001252) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1154959336
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJACQUELYN M MELLISCredential: LCSW
Location Address2634 HWY 109, SUITE EWildwood, MO 63040
Mailing Address8534 Sagamore Dr.Cedar Hill, MO 63016 · (636) 288-9737 · Fax (636) 274-9332
Phone(314) 384-6534
Fax(636) 274-9332
Sole ProprietorYes
Enumeration DateApril 1, 2020
Last NPPES UpdateApril 20, 20202 updates tracked since enumeration
NPPES CertifiedApril 20, 2020
✔ NPI 1154959336 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 MO · 001252
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.
2634 HWY 109, Wildwood, MO 63040
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.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 Jacquelyn Mellis's NPI number?

The NPI number for Jacquelyn Mellis is 1154959336. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Jacquelyn Mellis located?

Jacquelyn Mellis practices at 2634 Hwy 109 Suite E, Wildwood, MO 63040. The listed phone number is (314) 384-6534.

What is Jacquelyn Mellis's specialty?

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

What insurance does Jacquelyn Mellis accept?

Health plans from Medica and UnitedHealthcare list Jacquelyn Mellis 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 Jacquelyn Mellis was last updated on April 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.