DEBRA J HALL-ROCHE
NPI 1194082156
Social Worker - Clinical in Lewiston, ME

Active since April 16, 2012PECOS Enrolled
98.06/100
CMS Quality Rating
1155 LISBON ST, LEWISTON, ME 04240(207) 783-9141 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Debra J Hall-roche NPPES

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

DEBRA J HALL-ROCHE (NPI 1194082156) is an individual clinical provider in Lewiston, Maine, licensed in Maine (MC 13518) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194082156
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDEBRA J HALL-ROCHE
Location Address1155 LISBON STLewiston, ME 04240-5025
Mailing Address1155 Lisbon StLewiston, ME 04240-5025 · (207) 783-9141
Sole ProprietorNo
Enumeration DateApril 16, 2012
Last NPPES UpdateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
NPI 1194082156 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 · MC 13518
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.
1155 LISBON ST, Lewiston, ME 04240

Accepted 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)

Debra J Hall-roche 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 04240 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 $53.26 – $162.77
Typical copayment $0.00 (range $13.31 – $40.69)
Most-billed visit code NA
Established Patient
$66.74 typical visit price
range $16.90 – $132.79
Typical copayment $16.68 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

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.

Social Worker
1155 LISBON ST
LEWISTON, ME 04240
Community Based Residential Treatment Facility, Mental Illness
1155 LISBON ST
LEWISTON, ME 04240
Counselor (Addiction (Substance Use Disorder))
1155 LISBON ST
LEWISTON, ME 04240
Social Worker (Clinical)
1155 LISBON ST
LEWISTON, ME 04240
Psychiatry & Neurology (Psychiatry)
1155 LISBON ST
LEWISTON, ME 04240
Social Worker (Clinical)
1155 LISBON ST
LEWISTON, ME 04240
Counselor
1155 LISBON ST
LEWISTON, ME 04240
Social Worker (Clinical)
1155 LISBON ST
LEWISTON, ME 04240

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 Debra Hall-roche's NPI number?

The NPI number for Debra Hall-roche is 1194082156. It was assigned to this individual provider in the NPPES registry on April 16, 2012.

Where is Debra Hall-roche located?

Debra Hall-roche practices at 1155 Lisbon St, Lewiston, ME 04240. The listed phone number is (207) 783-9141.

What is Debra Hall-roche's specialty?

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

Is Debra Hall-roche enrolled in Medicare?

Yes. Debra Hall-roche is registered in the Medicare PECOS enrollment system.

What insurance does Debra Hall-roche accept?

Health plans from Harvard Pilgrim Health Care list Debra Hall-roche 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 Debra Hall-roche was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.