Provider Demographics
NPI:1861274052
Name:ROUNDY, JESSICA ERIN (LCSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:ERIN
Last Name:ROUNDY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MOJAVE HTS
Mailing Address - Street 2:
Mailing Address - City:SAINT GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770-0902
Mailing Address - Country:US
Mailing Address - Phone:435-703-3049
Mailing Address - Fax:
Practice Address - Street 1:40 N 300 E STE 101
Practice Address - Street 2:
Practice Address - City:SAINT GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-2900
Practice Address - Country:US
Practice Address - Phone:435-767-1635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-20
Last Update Date:2025-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1041C0700X1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical