Provider Demographics
NPI:1205424413
Name:ROYER, JENNIFER LYNN (LCSW)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:LYNN
Last Name:ROYER
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 1:3522 WEBSTER RD
Mailing Address - Street 2:
Mailing Address - City:BLUE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24064-1980
Mailing Address - Country:US
Mailing Address - Phone:540-977-6300
Mailing Address - Fax:
Practice Address - Street 1:3522 WEBSTER RD
Practice Address - Street 2:
Practice Address - City:BLUE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:24064-1980
Practice Address - Country:US
Practice Address - Phone:540-977-6300
Practice Address - Fax:540-977-9523
Is Sole Proprietor?:No
Enumeration Date:2021-01-04
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040168981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical