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

Jamie Lee Mallon

Individual provider Other Technician · NPI 1629580782

Jamie Lee Mallon is a Clinical Social Worker in Southgate, Michigan. Qualified in 2019, 7 years ago. Practices with Downriver Mental Health Clinic PC, a 288-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

14799 Dix Toledo Rd
Southgate, MI 48195-2507
Phone: (313) 278-2327
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801117507 (MI)
Other Technician Taxonomy 247200000X

Record details

NPI number1629580782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 30, 2017
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address14799 Dix Toledo Rd, Southgate, MI 48195-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Downriver Mental Health Clinic Pc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Southgate