Active NPI
Colleen Roach, LMSW
- Social Worker
- Lockport, NY
National Provider Identifier
1912560178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 096959-1
- Practice address
- 5467 Upper Mountain Rd Ste 200
Lockport, NY 14094-1854 - Phone
- (716) 439-7527
- NPI assigned
- Apr 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 096959-1 | NY | Primary |
Addresses
Primary practice location
5467 Upper Mountain Rd Ste 200
Lockport, NY 14094-1854
Mailing address
5467 Upper Mountain Rd Ste 200
Lockport, NY 14094-1854
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 |
|---|---|---|---|
| 096959-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1912560178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5467 UPPER MOUNTAIN RD STE 200",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5467 UPPER MOUNTAIN RD STE 200",
"city": "LOCKPORT",
"state": "NY",
"postal_code": "140941854",
"telephone_number": "716-439-7527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROACH",
"first_name": "COLLEEN",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-15",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "096959-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lockport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.