Malone, Jacqueline C

Malone, Jacqueline C is an sole proprietor health care provider with primary practice located at 100 5Th Ave S , St Petersburg FL 33701-5010. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Malone, Jacqueline C can be contacted via phone (727) 873-4848.

Contact Information

Primary practice address
100 5Th Ave S St Petersburg FL 33701-5010
Phone: (727) 873-4848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X SW 620 Florida
Behavioral Health & Social Service Providers / Social Worker 104100000X SW 620 Florida

Profile Details

NPI number 1417378332
LBN Legal business name Malone, Jacqueline C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2013
Last updated Jan 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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