Individual provider Active NPI

Marcia Roche, LICSW

  • Clinical Social Worker
  • Stratham, NH
National Provider Identifier
1992133482
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1937 Issued in NH
Practice address
89 Portsmouth Ave
Stratham, NH 03885-2467
Phone
(978) 307-8654
Fax
(978) 233-4856
NPI assigned
Oct 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1937 NH Primary

Addresses

Primary practice location

89 Portsmouth Ave
Stratham, NH 03885-2467

Mailing address

89 Portsmouth Ave
Stratham, NH 03885-2467
Phone (860) 373-8421

Other identifiers 1

IdentifierTypeStateIssuer
3078870MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marcia@cedargrove-counseling.com Direct

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1937NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Grove Counseling and Wellness Center, PLLC Clinical CurrentSince Aug 29, 2021 Accepting new patients

Locations

89 Portsmouth Ave
Stratham, NH 03885
Phone (603) 772-6400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1992133482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852467",
            "telephone_number": "860-373-8421",
            "fax_number": "978-233-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 PORTSMOUTH AVE",
            "city": "STRATHAM",
            "state": "NH",
            "postal_code": "038852467",
            "telephone_number": "978-307-8654",
            "fax_number": "978-233-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "MARCIA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3078870",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcia@cedargrove-counseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "89 Portsmouth Ave",
            "city": "Stratham",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038852467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stratham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; 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.