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

Stephanie Lynn Roach, LCSW

Individual provider Clinical Social Worker · NPI 1689182263

Stephanie Lynn Roach, LCSW is a Clinical Social Worker in Decatur, Georgia. Qualified in 1995, 31 years ago. Practices with Revere Counseling and Care Management LLC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
31
Licensed in
GA
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

315 W Ponce De Leon Ave Ste 370
Decatur, GA 30033
Phone: (404) 281-5422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW002619 (GA)

Record details

NPI number1689182263
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 17, 2018
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address315 W Ponce De Leon Ave, Suite 370, Decatur, GA 30033

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Revere Counseling And Care Management Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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