Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS in Greenville, NC

Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS is a medicare enrolled "Social Worker - Clinical" provider in Greenville, North Carolina. Her current practice location is 2428 Charles Blvd Ste 102, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 337-2644.

Mrs Tara Sandrea Roach is licensed to practice in North Carolina (license number CO13763) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164879854.

Contact Information

	Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS
	2428 Charles Blvd Ste 102, Greenville, NC 27858-6052
	(919) 337-2644
	(919) 882-9289

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Tara Sandrea Roach
Gender	Female
Speciality	Social Worker - Clinical
Location	2428 Charles Blvd Ste 102, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164879854
Provider Enumeration Date: 05/23/2016
Last Update Date: 11/21/2024

Medicare PECOS Information:

PECOS PAC ID: 8527422294
Enrollment ID: I20230913003979

Medical Identifiers

Medical identifiers for Mrs Tara Sandrea Roach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164879854	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CO13763 (North Carolina)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	3168 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tara Sandrea Roach allows following entities to bill medicare on her behalf.

Entity Name	Dominating Therapeutic Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871276998 PECOS PAC ID: 5698139368 Enrollment ID: O20230913003179

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Sandrea Roach is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS Po Box 3883, Greenville, NC 27836-1883 Ph: (252) 531-6226	Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS 2428 Charles Blvd Ste 102, Greenville, NC 27858-6052 Ph: (919) 337-2644

Reviews and Comments

Social Worker in Greenville, NC

Mr. Sean Pumphrey, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1204 E Fire Tower Rd, Greenville, NC 27858 Phone: 252-744-1122 Fax: 252-744-1133
Mrs. Misty West Marshburn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 124 W Victoria Ct Apt B, Greenville, NC 27834 Phone: 252-327-0988
Kayla Danielle Williams, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3106 S Memorial Dr Ste B, Greenville, NC 27834 Phone: 252-916-6048
Sarah Davis Franklin, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 401 Moye Blvd, Greenville, NC 27834 Phone: 252-830-2149
Elizabeth Keais Liles, MSW, LCAS-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1704 E Arlington Blvd Ste B, Greenville, NC 27858 Phone: 252-756-4899
Mrs. Kathy Schutz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 702 Cromwell Dr, Suite G, Greenville, NC 27858 Phone: 252-714-1755
Alicia N. Woods, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 905 Johns Hopkins Dr, Greenville, NC 27834 Phone: 252-744-1406 Fax: 252-744-4243

Mrs Tara Sandrea Roach, MSW,LCSW LCAS,CCSOTS - Medicare Clinical Social Worker in Greenville, NC