Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Theresa A Roche, MSW, LCSW

Individual provider Clinical Social Worker · NPI 1215955463

Theresa A Roche, MSW, LCSW is a Clinical Social Worker in O Fallon, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
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

763 River Glen Dr
O Fallon, MO 63368-9647
Phone: (636) 244-1917
Fax: (636) 244-1917
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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 2004008737 (MO)

Record details

NPI number1215955463
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW , LCSW
Sole proprietorYes
NPI enumeratedJuly 17, 2006
Last updated in NPPESMay 17, 2015

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