Jessica Daniela Royal

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

102322 Issued in NY

Practice address

22 Depot St Ste 19
Potsdam, NY 13676-1140

Phone

(315) 325-3890

Fax

(207) 823-3715

NPI assigned

Nov 12, 2021

Last updated

Apr 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brittni Traina, LCSW, PLLC

  • Clinical Social Worker
  • East Yaphank, NY
  • NPI 1083335509
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777075200000",
    "number": "1336805423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 REGAN RD",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136763208",
            "telephone_number": "920-627-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 DEPOT ST STE 19",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761140",
            "telephone_number": "315-325-3890",
            "fax_number": "207-823-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Regan Rd",
            "address_purpose": "LOCATION",
            "city": "Potsdam",
            "state": "NY",
            "postal_code": "136763208",
            "country_code": "US",
            "telephone_number": "920-627-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROYAL",
        "first_name": "JESSICA",
        "middle_name": "DANIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2026-04-25",
        "certification_date": "2026-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "102322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Thomas Rogers II, M.D.
• Stephanie F Rogers, NP-C
• Dawn Rosenbarker
• Mary Elizabeth Rosenfeld, NP
• Amanda Ross, NP
• Nicholas C Rulffes, PHARM. D
• Amber L Rusello, LPN
• Leslie N Russek, P.T.
• Nancy Rutledge, NP
• Sherry Ryan, LMHC

• Clinical Social Worker in Potsdam, NY
• Providers in Potsdam, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.