Individual provider · Type 1 NPI

Jennifer L. Roll, LISW-S, LICDC

Clinical Social Worker · Moraine, OH

NPI number 1912376708 Active

Practice location

3095 Kettering Blvd
Moraine, OH 45439-1983

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XLICDC.162108 (OH)
Addiction (Substance Use Disorder) Counselor 101YA0400XLCDCIII.161339 (OH)
Clinical Social Worker Primary 1041C0700XI.1901910 (OH)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1912376708

Jennifer L. Roll, LISW-S, LICDC's National Provider Identifier is 1912376708, issued on Sep 22, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Moraine, OH. The record was last updated on Dec 21, 2021.