Mallory Hannah Wood

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1552 Roberts Dr
Jacksonville Beach, FL 32250-3222

Phone

(904) 299-3420

NPI assigned

Aug 19, 2025

Last updated

Aug 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beaches Therapy LLC

  dba Audrey Roach-Slivinski, LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1922471721
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1700763893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 TOURNAMENT RD",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823672",
            "telephone_number": "317-840-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-299-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MALLORY",
        "middle_name": "HANNAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Mae Efstration Winham, LMFT
• Steven L. Wise, PSY.D.
• Dineen Helen Wolfersheim
• Women's Care Florida LLC
• Kathryn Marie Wood, PT, DPT
• Kristin Woyak, M.ED., CCC-SLP
• Kellie Wright, OTR/L
• Debbie Young, A.P.
• Deborah Davis Young, RN
• Edward D. Young, M.D.

• Social Worker in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.