Individual
JESSICA MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4655 S 1900 W, ROY, UT 84067-2772
(801) 791-5001
Mailing address
4655 S 1900 W, ROY, UT 84067-2772
(801) 791-5001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
5059
CT
1041C0700X
Clinical Social Worker
Primary
11207811-3501
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390200000X
—
UT
Enumeration date
07/03/2018
Last updated
11/18/2025
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