Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Keith Poche, LCSW

Individual provider Clinical Social Worker · NPI 1518025956

Mr. Keith Poche, LCSW is a Clinical Social Worker in Roanoke Rapids, North Carolina. Qualified in 2010, 16 years ago. Practices with Arthur Fenner Outreach Center LLC, a 2-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
16
Licensed in
NC, VA
In the registry since
2006
Specialties on file
5
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

608 Jackson St Ste 212
Roanoke Rapids, NC 27870-2600
Phone: (919) 200-5217
Fax: (252) 541-4002
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C010128 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904010643 (VA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence LCAS-22976 (NC)
Clinical Social Worker Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 0718000684 (VA)

Record details

NPI number1518025956
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2006
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Arthur Fenner Outreach Center Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Roanoke Rapids