Individual provider · Type 1 NPI

Laurie Diane Roach

Clinical Social Worker · Yucaipa, CA

NPI number 1295941953 Active

Practice location

34324 Yucaipa Blvd Ste B-D
Yucaipa, CA 92399-2496

Mailing address

1245 W Palm Ave
Redlands, CA 92373-5770

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1295941953

Laurie Diane Roach's National Provider Identifier is 1295941953, issued on May 16, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Yucaipa, CA. The record was last updated on Aug 6, 2009.