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THEODUS MARQUES ROACH LCSW
NPI 1154340768
Social Worker - Clinical in Indian Trail, NC

Active since July 18, 2006PECOS Enrolled
210 POSTAGE WAY #1772, INDIAN TRAIL, NC 28079(980) 338-5563(704) 228-0260 Get Directions Write a Review

NPPES record last updated: February 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 17, 2025, Apr 6, 2021, Jul 2, 2018 (3 updates tracked since 2018).

About Theodus Marques Roach Lcsw NPPES

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

THEODUS MARQUES ROACH LCSW (NPI 1154340768) is an individual clinical provider in Indian Trail, North Carolina, licensed in North Carolina (C005319) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154340768
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameTHEODUS MARQUES ROACHCredential: LCSW
Location Address210 POSTAGE WAY #1772Indian Trail, NC 28079-9701
Mailing Address1006 Sebastian CtIndian Trail, NC 28079-3688 · (980) 338-5563 · Fax (800) 853-9535
Phone(980) 338-5563
Fax(704) 228-0260
Sole ProprietorNo
Enumeration DateJuly 18, 2006
Last NPPES UpdateFebruary 17, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2025
✔ NPI 1154340768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NC · C005319✔ Licensed in TX · 65730
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.

Other Identifiers 1

Medicaid6106359NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodus Marques Roach Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28079 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

OASIS CLINICAL CARE MANAGEMENT & CONSULTATION PLLC
Social Worker (Clinical)
210 POSTAGE WAY #1772
INDIAN TRAIL, NC 28079
Union County (980) 338-5563

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 Theodus Roach's NPI number?

The NPI number for Theodus Roach is 1154340768. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Theodus Roach located?

Theodus Roach practices at 210 Postage Way #1772, Indian Trail, NC 28079. The listed phone number is (980) 338-5563.

What is Theodus Roach's specialty?

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

Is Theodus Roach enrolled in Medicare?

Yes. Theodus Roach is registered in the Medicare PECOS enrollment system.

What insurance does Theodus Roach accept?

Health plans from Molina Healthcare list Theodus Roach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodus Roach was last updated on February 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.