Danielle Marie Roche, LCSW-C
Individual provider Active NPI Clinical Social Worker · Poolesville, MD
NPI 1508548306 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1508548306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 30747 (MD)
- Practice address
- 17107 Tom Fox Ave
Poolesville, MD 20837-2289 - Phone
- (240) 750-9594
- NPI assigned
- Aug 2, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30747 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 30747 | MD | Yes |
Addresses
Primary practice location
17107 Tom Fox Ave
Poolesville, MD 20837-2289
Mailing address
17107 Tom Fox Ave
Poolesville, MD 20837-2289
Phone (240) 750-9594
Other providers in Poolesville, MD
- Poolesville Family Practice LLC
- Poolesville Physical Therapy
- Poolesville Vision and Contact Lens Service
- Possible Rays Wellness, LLC
- Emma Ridgway
- Erica Salpino
- Samuel Wilson Cooper LLC
- Stanford Assistance LLC
- Samuel Yin Suen
- Sunshine Projects Foundation Inc.
All providers in Poolesville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.