Kathleen Ann Roche, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004594 Issued in CT

Practice address

42 Jarvis St
Cheshire, CT 06410-1503

Phone

(203) 806-2542

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathy A Roche Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Anchored Soul Counseling, PLLC

  • Clinical Social Worker
  • North Haven, CT
  • NPI 1619515962
  NPD (past)

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1871372466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 STATE ST STE C",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732273",
            "telephone_number": "203-491-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 JARVIS ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101503",
            "telephone_number": "203-806-2542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Main St Unit 2",
            "address_purpose": "LOCATION",
            "city": "Wallingford",
            "state": "CT",
            "postal_code": "064926235",
            "country_code": "US",
            "telephone_number": "203-668-3323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "ROCHE",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sarah J Rivard, LO
• Desiree Rivera, NP
• Tabbetha T Rivers, BCBA
• Sherine Robinson
• Katharine Ann Rocci
• Amanda Rodriguez
• Kelly Ann Rodriguez, LPC
• Victoria Rodriguez, LCSW
• Caitlin Rose, LPC
• Lynn Rose, SPEECH THERAPIST

• Clinical Social Worker in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.