Individual provider · Type 1 NPI

Carly Richelle Roach, LMSW

Clinical Social Worker · Grand Rapids, MI

NPI number 1689066136 Active

Practice location

2135 Buchanan Ave SW
Grand Rapids, MI 49507-2911

Call (616) 247-3638 Map

Mailing address

100 Cherry St SE
Grand Rapids, MI 49503-4526

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801108306 (MI)

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 1689066136

Carly Richelle Roach, LMSW's National Provider Identifier is 1689066136, issued on Feb 20, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 15, 2024.