Individual provider · Type 1 NPI

Tara Sandrea Roach, MSW, LCSW LCAS, CCSOTS

Clinical Social Worker · Greenville, NC

NPI number 1164879854 Active

Practice location

2428 Charles Blvd Ste 102
Greenville, NC 27858-6052

Call (919) 337-2644 Map

Fax (919) 882-9289

Mailing address

PO Box 3883
Greenville, NC 27836-1883

Other practice locations

  • 600 Lynndale Ct Ste F, Greenville, NC 27858-5443 · (252) 353-8001

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCO13763 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X3168 (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…

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About NPI 1164879854

Tara Sandrea Roach, MSW, LCSW LCAS, CCSOTS's National Provider Identifier is 1164879854, issued on May 23, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Greenville, NC. The record was last updated on Nov 21, 2024.