Individual provider · Type 1 NPI

Theodus Marques Roach, LCSW

Clinical Social Worker · Indian Trail, NC

NPI number 1154340768 Active

Practice location

210 Postage Way #1772
Indian Trail, NC 28079-9701

Call (980) 338-5563 Map

Fax (704) 228-0260

Mailing address

1006 Sebastian Ct
Indian Trail, NC 28079-3688

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X65730 (TX)
Clinical Social Worker Primary 1041C0700XC005319 (NC)

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…

Another provider at this address

Other clinical social worker providers in Indian Trail

See all in Indian Trail →

About NPI 1154340768

Theodus Marques Roach, LCSW's National Provider Identifier is 1154340768, issued on Jul 18, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indian Trail, NC. The record was last updated on Feb 17, 2025.