Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn M Mellis, LCSW

Individual provider Clinical Social Worker · NPI 1154959336

Jacquelyn M Mellis, LCSW is a Clinical Social Worker in Wildwood, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

2634 Hwy 109 Ste E
Wildwood, MO 63040
Phone: (314) 384-6534
Fax: (636) 274-9332
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 001252 (MO)

Record details

NPI number1154959336
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 1, 2020
Last updated in NPPESApril 20, 2020
Certification dateApril 20, 2020

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