1. Home
  2. Directory
  3. Connecticut
  4. Mashantucket
  5. Social Worker
  6. NPI Profile

CRYSTAL ROACH LCSW
NPI 1194254144
Social Worker - Clinical in Mashantucket, CT

Active since June 05, 2017PECOS Enrolled
102 MUHSHEE MAHCHAQ BLVD, MASHANTUCKET, CT 06338(860) 312-8023(860) 312-8005 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2018, Jun 5, 2017 (2 updates tracked since 2017).

About Crystal Roach Lcsw NPPES

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

CRYSTAL ROACH LCSW (NPI 1194254144) is an individual clinical provider in Mashantucket, Connecticut, licensed in Illinois (149017506) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194254144
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCRYSTAL ROACHCredential: LCSW
Location Address102 MUHSHEE MAHCHAQ BLVDMashantucket, CT 06338-3820
Mailing AddressPo Box 3260Mashantucket, CT 06338-3260 · (860) 312-8023 · Fax (860) 312-8205
Phone(860) 312-8023
Fax(860) 312-8005
Sole ProprietorNo
Enumeration DateJune 5, 2017
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
✔ NPI 1194254144 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 IL · 149017506
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.
102 MUHSHEE MAHCHAQ BLVD, Mashantucket, CT 06338
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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)

Crystal 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
42 services15 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06338 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 $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

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 Crystal Roach's NPI number?

The NPI number for Crystal Roach is 1194254144. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Crystal Roach located?

Crystal Roach practices at 102 Muhshee Mahchaq Blvd, Mashantucket, CT 06338. The listed phone number is (860) 312-8023.

What is Crystal Roach's specialty?

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

Is Crystal Roach enrolled in Medicare?

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

What insurance does Crystal Roach accept?

Health plans from Providence Health Plan list Crystal 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 Crystal Roach was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.