Theodus Roach, LCSW
NPI 1154340768 · Clinical Social Worker · Indian Trail, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodus Roach, LCSW is a Clinical Social Worker provider in Indian Trail, NC (NPI 1154340768).
Provider details
- NPI number
- 1154340768
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 65730 (TX)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-18
- Last updated
- 2025-02-17
- Certified
- 2025-02-17
Frequently asked questions
- What is Theodus Roach's NPI number?
- Theodus Roach's National Provider Identifier (NPI) is 1154340768, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodus Roach's specialty?
- Theodus Roach is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Theodus Roach located?
- Theodus Roach's practice location on file with NPPES is 210 Postage Way #1772, Indian Trail, NC 28079-9701.
- What is Theodus Roach's phone number?
- The practice phone number listed in the NPPES registry for Theodus Roach is (980) 338-5563.
- Does Theodus Roach accept Medicare?
- Theodus Roach is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodus Roach's NPI active?
- Yes — Theodus Roach's NPI (1154340768) is active in the NPPES registry as of the last update on 2025-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.