Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYLA MARIE ROACH LMSW-CC
NPI 1063322105
Social Worker - Clinical in Bangor, ME

Active since September 10, 2026
268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100 Get Directions Write a Review

NPPES record added: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Kyla Marie Roach Lmsw-cc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLA MARIE ROACH LMSW-CC (NPI 1063322105) is an individual clinical provider in Bangor, Maine, licensed in Maine (MC26484) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1063322105
Entity TypeIndividual
Primary Taxonomy1041C0700X
Provider Legal NameKYLA MARIE ROACHCredential: LMSW-CC
Location Address268 STILLWATER AVEBangor, ME 04401-3945
Mailing Address268 Stillwater AveBangor, ME 04401-3945 · (207) 973-6100
Sole ProprietorNo
Enumeration DateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
NPI 1063322105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ME · MC26484
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
268 STILLWATER AVE, Bangor, ME 04401

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyla Roach's NPI number?

The NPI number for Kyla Roach is 1063322105. It was assigned to this individual provider in the NPPES registry on September 10, 2026.

Where is Kyla Roach located?

Kyla Roach practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.

What is Kyla Roach's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kyla Roach was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.