Provider Demographics
NPI:1871395038
Name:LOYA, JENNIFER L (LMSW)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:L
Last Name:LOYA
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:LOYA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMSW
Mailing Address - Street 1:2340 W CARSON RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85041-6408
Mailing Address - Country:US
Mailing Address - Phone:602-738-8975
Mailing Address - Fax:
Practice Address - Street 1:4577 W PECOS RD
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339-9002
Practice Address - Country:US
Practice Address - Phone:602-738-8975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-26
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD027180601041C0700X
251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical