Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CRYSTAL ROACH, LCSW
ActiveCRYSTAL ROACH, LCSW is a Clinical Social Worker healthcare provider located in MASHANTUCKET, Connecticut. NPI 1194254144 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MASHANTUCKET, CT
Registration Details
- NPI Number
- 1194254144
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2017 (9.0136547239037 yrs)
- Last Updated
- Jun 16, 2018
- License
-
149017506 (IL)
Practice Information
- Address
-
102 MUHSHEE MAHCHAQ BLVDMASHANTUCKET, CT, 063383820Browse CT providers · Browse ZIP 06338
- Phone
- 8603128023
- Fax
- 8603128005
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.