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Active NPI 1194254144 Individual Practitioner Female Practitioner

Crystal Roach , LCSW

Social Worker - Clinical • Mashantucket, CT

Professional Overview & Biography Verified Profile Summary

Crystal Roach, LCSW is a registered healthcare professional specializing in Social Worker - Clinical in Mashantucket, CT. Practice services are available at 102 MUHSHEE MAHCHAQ BLVD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

102 Muhshee Mahchaq Blvd

Mashantucket, CT 063383820

Telephone 8603128023
Fax 8603128005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Mashantucket, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Mashantucket, CT (7959 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
42 15 $366.67 $79.25
90791 Psychiatric diagnostic evaluation
18 18 $643.33 $131.98

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IL 149017506

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 05, 2017

Registered at 102 MUHSHEE MAHCHAQ BLVD, MASHANTUCKET, CT 063383820 (Tel: 8603128023)

📍
Updated Business Mailing Address June 05, 2017

Registered at PO BOX 3260, MASHANTUCKET, CT 063383260 (Tel: 8603128023)

👤
Provider Name / Credentials Updated June 05, 2017

Recorded as CRYSTAL ROACH, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2017

Social Worker (License #149017506 in IL)

🟢
Initial NPI Registration & Enumeration June 05, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194254144
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2017
Last Update: June 16, 2018
Sole Proprietor: No

Mailing Address

Po Box 3260

Mashantucket, CT 063383260

Phone: 8603128023

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.