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CARLY RICHELLE ROACH LMSW
NPI 1689066136
Social Worker - Clinical in Grand Rapids, MI

Active since February 20, 2015PECOS Enrolled
2135 BUCHANAN AVE SW, GRAND RAPIDS, MI 49507(616) 247-3638 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 15, 2024, Nov 10, 2020 (2 updates tracked since 2020).

About Carly Richelle Roach Lmsw NPPES

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

CARLY RICHELLE ROACH LMSW (NPI 1689066136) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801108306) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689066136
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCARLY RICHELLE ROACHCredential: LMSW
Location Address2135 BUCHANAN AVE SWGrand Rapids, MI 49507-2911
Mailing Address100 Cherry St SeGrand Rapids, MI 49503-4526
Phone(616) 247-3638
Sole ProprietorYes
Enumeration DateFebruary 20, 2015
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1689066136 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 MI · 6801108306
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.
2135 BUCHANAN AVE SW, Grand Rapids, MI 49507
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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)

Carly Richelle Roach Lmsw 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 49507 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 $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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 5

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

CHRISTINE ANNE MUSHLOCK LMSW
Social Worker (Clinical)
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507
Kent County (616) 247-3638
LUDERMARY BERNAL
Community Health Worker
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507
Kent County (616) 249-3638
SHARON TORNGA RDH
Dental Hygienist
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507
Kent County (616) 247-3638
AMY ELIZABETH TOMPKINS MSW, CSW
Social Worker
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507
Kent County (616) 247-3638
CHERRY STREET SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2135 BUCHANAN AVE SW
GRAND RAPIDS, MI 49507
Kent County (616) 247-3638

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 Carly Roach's NPI number?

The NPI number for Carly Roach is 1689066136. It was assigned to this individual provider in the NPPES registry on February 20, 2015.

Where is Carly Roach located?

Carly Roach practices at 2135 Buchanan Ave SW, Grand Rapids, MI 49507. The listed phone number is (616) 247-3638.

What is Carly Roach's specialty?

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

Is Carly Roach enrolled in Medicare?

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

What insurance does Carly Roach accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Carly 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 Carly Roach was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.