Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jonmeliah Mallory

Individual provider Clinical Social Worker · NPI 1639712896

Jonmeliah Mallory is a Clinical Social Worker in St Johns, Florida. Qualified in 2020, 6 years ago. Licensed in Colorado, Florida, South Carolina and Virginia.

Years since qualifying
6
Licensed in
CO, FL, SC, VA
In the registry since
2019
Specialties on file
4

Practice location Address checks out

106 Ren Way
St Johns, FL 32259-9407
Phone: (904) 325-4260
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 0904017115 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence TLS1030CP (SC)
Clinical Social Worker Taxonomy 1041C0700X · Licence CSW.09932419 (CO)
Clinical Social Worker Taxonomy 1041C0700X · Licence SW22218 (FL)

Record details

NPI number1639712896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESOctober 6, 2026
Certification dateOctober 6, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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