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

Theodus Marques Roach, LCSW

Individual provider Clinical Social Worker · NPI 1154340768

Theodus Marques Roach, LCSW is a Clinical Social Worker in Indian Trail, North Carolina. Licensed in North Carolina and Texas. Registered with an NPI since 2006.

Licensed in
NC, TX
In the registry since
2006
Specialties on file
2
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

210 Postage Way #1772
Indian Trail, NC 28079-9701
Phone: (980) 338-5563
Fax: (704) 228-0260
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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 C005319 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 65730 (TX)

Record details

NPI number1154340768
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 18, 2006
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

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