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

Mrs. Tara Sandrea Roach, MSW, LCSWLCAS, CCSOTS

Individual provider Clinical Social Worker · NPI 1164879854

Mrs. Tara Sandrea Roach, MSW, LCSWLCAS, CCSOTS is a Clinical Social Worker in Greenville, North Carolina. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

2428 Charles Blvd Ste 102
Greenville, NC 27858-6052
Phone: (919) 337-2644
Fax: (919) 882-9289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Lynndale Ct Ste F, Greenville, NC 27858-5443 — (252) 353-8001

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CO13763 (NC)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 3168 (NC)

Record details

NPI number1164879854
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSWLCAS , CCSOTS
Sole proprietorYes
NPI enumeratedMay 23, 2016
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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