IndividualActive
Crystal Roach, LCSW
NPI 1194254144 · Clinical Social Worker · Mashantucket, CT
Provider details
- NPI number
- 1194254144
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 149017506 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
102 Muhshee Mahchaq Blvd
Mashantucket, CT 06338-3820
Phone: (860) 312-8023
Fax: (860) 312-8005
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3260
Mashantucket, CT 06338-3260
Registry dates
- Enumerated
- 2017-06-05
- Last updated
- 2018-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.