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

Keenan Ane Mallory, LCSW

Individual provider Clinical Social Worker · NPI 1639406614

Keenan Ane Mallory, LCSW is a Clinical Social Worker in Melbourne, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

1900 S Harbor City Blvd
Melbourne, FL 32901-4749
Phone: (321) 514-5048
Fax: (321) 610-8880
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 9266 (FL)

Record details

NPI number1639406614
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedNovember 11, 2009
Last updated in NPPESNovember 11, 2009

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