Search › Missouri › Clinical Social Worker
Jacquelyn Mellis, LCSW
NPI 1154959336 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2634 Hwy 109
Suite E
Wildwood, MO 63040 - Phone
- (314) 384-6534
- Fax
- (636) 274-9332
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-04-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri