Shawn B Roach, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4820 Issued in TN

Practice address

685 Emory Valley Rd Ste C
Oak Ridge, TN 37830-7746

Phone

(865) 482-9252

Fax

(865) 482-7164

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Social Worker

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1174653307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 EMORY VALLEY RD STE C",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307746",
            "telephone_number": "865-482-9252",
            "fax_number": "865-482-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 EMORY VALLEY RD STE C",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378307746",
            "telephone_number": "865-482-9252",
            "fax_number": "865-482-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROACH",
        "first_name": "SHAWN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Mark Rice, M.D.
• Diana D. Richmond, RNC
• Phillip Morgan Ricks, MD
• Ridgeview Psychiatric Hospital and Center, Inc.
• Barbara N Riggs, RN
• Randall Raymond Robbins, M.D.
• Mary Kathleen Roberson, PH.D.
• Robert S Dotson, MD PC
• Kristin Roberts
• Katie Robertson, DO

• Clinical Social Worker in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.