Active NPI
Lenore J Roach, LISW,LCSW
- Clinical Social Worker
- Lake Katrine, NY
National Provider Identifier
1821033929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO43601-1
- Practice address
- 300 Grant Ave
Lake Katrine, NY 12449-5340 - Phone
- (845) 336-3500
- NPI assigned
- Jun 20, 2006
- Sex
- Female
- 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 | RO43601-1 | NY | Primary |
Addresses
Primary practice location
300 Grant Ave
Lake Katrine, NY 12449-5340
Mailing address
55 Depew Rd Apt 4
High Falls, NY 12440-5618
Phone (845) 687-0735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RO43601-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199491200000",
"number": "1821033929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 DEPEW RD APT 4",
"city": "HIGH FALLS",
"state": "NY",
"postal_code": "124405618",
"telephone_number": "845-687-0735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 GRANT AVE",
"city": "LAKE KATRINE",
"state": "NY",
"postal_code": "124495340",
"telephone_number": "845-336-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "LENORE",
"middle_name": "J",
"credential": "LISW,LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-20",
"last_updated": "2008-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO43601-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Katrine, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.