Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Jennifer Marie Mallis, MSW, LCSW, QS

Individual provider Clinical Social Worker · NPI 1093166530

MS. Jennifer Marie Mallis, MSW, LCSW, QS is a Clinical Social Worker in Ponte Vedra Beach, Florida. Practices as a sole proprietor and works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2016
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

174 Island Harbor Cir
Ponte Vedra Beach, FL 32082-1215
Phone: (904) 923-2108
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11821 Remsen Rd, Jacksonville, FL 32223-0730 — (904) 321-9448

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 14978 (FL)

Record details

NPI number1093166530
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW , QS
Sole proprietorYes
NPI enumeratedJune 27, 2016
Last updated in NPPESSeptember 17, 2020
Certification dateSeptember 17, 2020

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