Provider Demographics
NPI:1083288849
Name:MEEKER, JESSICA ANN (LCSW)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:MEEKER
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 1:2252 N 44TH ST APT 1127
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7208
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-655-6996
Practice Address - Street 1:19820 N 7TH ST STE 205
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1694
Practice Address - Country:US
Practice Address - Phone:866-540-3175
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ216341041C0700X
CO099320591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical