ANDREW ROACH (NPI# 1396786075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396786075 |
| Entity Type | Individual |
| Full Name | ANDREW ROACH |
| Credential | LCSW |
| Practice Address |
1506 Mary Kay Blvd Benton AR 72015-8909 |
| Mailing Address |
Po Box 1589 Benton AR 72018-1589 |
| Practice Telephone | 5013153344 |
| Mailing Telephone | 5013153344 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2013-09-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
1225-C | AR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487788188 | Andrew Nicholas Roach | Nurse Practitioner | 1411 W Baddour Pkwy, Lebanon, TN 37087-2513 | 2007-03-15 |
| Street Address |
1506 MARY KAY BLVD |
| City | BENTON |
| State | AR |
| Zip Code | 72015-8909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205434917 | Jared Thielke | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-14 |
| 1528666732 | David Kidd | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2020-10-12 |
| 1639789001 | Chase Albaugh | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2020-07-31 |
| 1962059154 | Keeshunna Reed | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-22 |
| 1972158780 | Joel Eldridge | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-08-08 |
| 1134771884 | Abby Fowler | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-07-12 |
| 1881252211 | Larry Houston-huff | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2019-05-31 |
| 1831651413 | Brandy Ortiz | Licensed Practical Nurse | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-04-03 |
| 1508320565 | Jennifer House | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015-7201 | 2019-01-24 |
| 1326523184 | Shamila Crawford | Case Manager/Care Coordinator | 1506 Mary Kay Blvd, Benton, AR 72015 | 2018-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093379935 | Reach Behavioral Health | Social Worker | 17724 Interstate 30 N, Benton, AR 72019-2907 | 2019-04-25 |
| 1144735713 | Samantha Durietz | Social Worker | 8501 Valley Rd, Benton, IL 62812-4103 | 2017-12-05 |
| 1194134452 | Margaret B Rutledge | Social Worker | 2018 Pine Ridge Way, Benton, LA 71006-3488 | 2014-08-11 |
| 1497041321 | Laquita Shana Norris | Social Worker | 1920 Congo Rd Ste A, Benton, AR 72015-2884 | 2011-06-20 |
| 1376784686 | Arkansas Elder Solutions | Social Worker | 812 W Cross St, Benton, AR 72015-3628 | 2009-03-16 |
| 1902011000 | Eric Ty Crutchfield | Social Worker | 1502 Mary Kay Ave, Benton, AR 72015 | 2007-05-11 |
| 1801008578 | Herman Harley | Social Worker | 1718 Old Hot Springs Hwy, Benton, AR 72018-1589 | 2007-05-04 |
| 1295870640 | Holly Crutchfield | Social Worker | 17680 Interstate 30 N, Ste 1, Benton, AR 72019-2921 | 2007-02-21 |
| 1508930504 | Patricia Edwards | Social Worker | 1502 Mary Kay Ave., Benton, AR 72015 | 2006-11-20 |
| 1346323227 | Carol G Smith | Social Worker | 83 Wellness Way Fl 2, Benton, KY 42025-7156 | 2006-10-23 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.