Jacqueline C Malone, LCSW is a
Social Worker based in St Petersburg, Florida. Jacqueline C Malone is licensed to practice in Florida (license number SW 620) and her current practice location is
100 5th Ave S, St Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 873-4848.
NPI number for Jacqueline C Malone is 1417378332 and her current mailing address is 100 5th Ave S, St Petersburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1417378332.
Healthcare Provider's Profile
| Full Name | Jacqueline C Malone |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker |
|---|
| Location | 100 5th Ave S, St Petersburg, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1417378332
- Provider Enumeration Date: 12/19/2013
- Last Update Date: 01/11/2017
Medical Identifiers
Medical identifiers for Jacqueline C Malone such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417378332 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | SW 620 (Florida) | Secondary |
| 104100000X | Social Worker | SW 620 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline C Malone is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jacqueline C Malone, LCSW 100 5th Ave S, St Petersburg, FL 33701-5010 Ph: (727) 873-4848 | Jacqueline C Malone, LCSW 100 5th Ave S, St Petersburg, FL 33701-5010 Ph: (727) 873-4848 |
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