Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer L Roll, LISW-S, LICDC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1912376708

Jennifer L Roll, LISW-S, LICDC is an Addiction (Substance Use Disorder) Counselor in Moraine, Ohio. Licensed in Ohio. Registered with an NPI since 2015.

Licensed in
OH
In the registry since
2015
Specialties on file
3

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.1901910 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LICDC.162108 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCDCIII.161339 (OH)

Record details

NPI number1912376708
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-S , LICDC
Sole proprietorNo
NPI enumeratedSeptember 22, 2015
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address3095 Kettering Blvd, Moraine, OH 45439-1983

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