Monique Roach, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

88290 Issued in CA

Practice address

6845 Indiana Ave Ste 101
Riverside, CA 92506-4224

Phone

(909) 581-4854

Fax

(951) 405-6454

NPI assigned

Mar 27, 2019

Last updated

Jul 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ready 4 Change, a Licensed Clinical Social Worker Corporation

  dba Ready 4 Change

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1356925531
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1144781733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25920 IRIS AVE STE 13A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925511658",
            "telephone_number": "909-581-4854",
            "fax_number": "951-405-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6845 INDIANA AVE STE 101",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064224",
            "telephone_number": "909-581-4854",
            "fax_number": "951-405-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "MONIQUE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2021-07-19",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88290",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "88290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kabil Ro, D.C.
• Nathan Ha Rin Ro
• Nicholas Roa
• Karen Z. Roach, RNP
• Michael Brian Roach
• Patricia Marie Roach
• Valerie Roach
• Adam Michael Robarge, MD
• Katherine Elizabeth Robb Ramirez, M.D.
• Carl Robbins

• Community/Behavioral Health Agency in Riverside, CA
• Providers in Riverside, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.