Active NPI
Chris Roach
- Clinical Social Worker
- Taylorsville, UT
National Provider Identifier
1780106641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5709252-3501
- Practice address
- 5677 S Redwood Rd Unit 18
Taylorsville, UT 84123-5454 - Phone
- (435) 526-5996
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5709252-3501 | UT | Primary |
Addresses
Primary practice location
5677 S Redwood Rd Unit 18
Taylorsville, UT 84123-5454
Mailing address
5677 S Redwood Rd Unit 18
Taylorsville, UT 84123-5454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5677 S Redwood Rd
Unit 18
Taylorsville, UT 84123-5454
Phone (801) 742-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beacon Therapy of Utah | Clinical | Current | Accepting new patients |
| James Mason Centers for Recovery | Past | Accepting new patients |
Locations
5677 S Redwood Rd
Unit 18
Taylorsville, UT 84123
Phone (385) 526-5996
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Taylorsville, UT
- NPI 1265149637
-
- Adolescent and Children Mental Health Clinic/Center
- Salt Lake City, UT
- NPI 1902288376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1780106641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5677 S REDWOOD RD UNIT 18",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5677 S REDWOOD RD UNIT 18",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841235454",
"telephone_number": "435-526-5996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "CHRIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "5709252-3501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.