Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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 Florida, South Carolina and Virginia.

Years since qualifying
6
Licensed in
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
Clinical Social Worker Taxonomy 1041C0700X · Licence SW22218 (FL)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904017115 (VA)
Clinical Social Worker Taxonomy 1041C0700X · Licence TLS1030CP (SC)

Record details

NPI number1639712896
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 21, 2019
Last updated in NPPESJanuary 13, 2025
Certification dateJanuary 13, 2025
Mailing address23 Rybar Ln, Palm Coast, FL 32164-6445

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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