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KEENAN ANE MALLORY LCSW
NPI 1639406614
Social Worker - Clinical in Melbourne, FL

Active since November 11, 2009
1900 S HARBOR CITY BLVD, MELBOURNE, FL 32901(321) 514-5048(321) 610-8880 Get Directions Write a Review

NPPES record last updated: November 11, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keenan Ane Mallory Lcsw NPPES

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

KEENAN ANE MALLORY LCSW (NPI 1639406614) is an individual clinical provider in Melbourne, Florida, licensed in Florida (9266) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1639406614
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEENAN ANE MALLORYCredential: LCSW
Location Address1900 S HARBOR CITY BLVDMelbourne, FL 32901-4749
Mailing Address2571 Stratford Pointe DrWest Melbourne, FL 32904-8058 · (321) 514-5048
Phone(321) 514-5048
Fax(321) 610-8880
Sole ProprietorNo
Enumeration DateNovember 11, 2009
✔ NPI 1639406614 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 · 9266
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.
1900 S HARBOR CITY BLVD, Melbourne, FL 32901
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Other Identifiers 1

Other9266FL · Lcsw

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADGIANNA GRANT-SOMMERVILLE LPN
Licensed Practical Nurse
1900 S HARBOR CITY BLVD, SUITE 231
MELBOURNE, FL 32901
Brevard County (321) 821-7793
MRS. NATALIE LORRAINE LAWSON-JOHNSON L.M.T., H.M.L.T.
Massage Therapist
1900 S HARBOR CITY BLVD, SUITE 117
MELBOURNE, FL 32901
Brevard County (321) 848-8103
AMANDA GWEN LEWIS L.M.T
Massage Therapist
1900 S HARBOR CITY BLVD, SUITE 104
MELBOURNE, FL 32901
Brevard County (321) 674-9900
MISS SONYA TRUDI TAYLOR L.C.S.W.
Social Worker
1900 S HARBOR CITY BLVD, SUITE 105
MELBOURNE, FL 32901
Brevard County (321) 951-3131
CAROL WALTON, PSY.D., P.A.
Psychologist (Clinical)
1900 S HARBOR CITY BLVD, SUITE 203
MELBOURNE, FL 32901
Brevard County (321) 725-9607
COASTAL HOME HEALTH LLC DBA IN HOME PERSONAL SERVICES
Home Health
1900 S HARBOR CITY BLVD, SUITE 121
MELBOURNE, FL 32901
Brevard County (321) 984-0706
SPACE COAST NEUROPSYCHOLOGY CENTER INC
Clinical Neuropsychologist
1900 S HARBOR CITY BLVD
MELBOURNE, FL 32901
Brevard County (321) 373-1303
MS. JANET NEWQUIST HUNT
Social Worker (Clinical)
1900 S HARBOR CITY BLVD, SUITE 218
MELBOURNE, FL 32901
Brevard County (321) 956-0282

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 Keenan Mallory's NPI number?

The NPI number for Keenan Mallory is 1639406614. It was assigned to this individual provider in the NPPES registry on November 11, 2009.

Where is Keenan Mallory located?

Keenan Mallory practices at 1900 S Harbor City Blvd, Melbourne, FL 32901. The listed phone number is (321) 514-5048.

What is Keenan Mallory's specialty?

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

When was this NPI record last updated?

The NPPES record for Keenan Mallory was last updated on November 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.