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

Jessica Daniela Royal

Individual provider Clinical Social Worker · NPI 1336805423

Jessica Daniela Royal is a Clinical Social Worker in Potsdam, New York. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021

Practice location Address checks out

22 Depot St Ste 19
Potsdam, NY 13676-1140
Phone: (315) 325-3890
Fax: (207) 823-3715
Show map & directions

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

Additional practice locations (1)

  • 82 Regan Rd, Potsdam, NY 13676-3208 — (920) 627-2140

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 102322 (NY)

Record details

NPI number1336805423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2021
Last updated in NPPESApril 25, 2026
Certification dateApril 25, 2026
Mailing address82 Regan Rd, Potsdam, NY 13676-3208

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Potsdam