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NPI Code Detail

MEDICARE: JULIA ROACH LCSW

MEDICARE: JULIA ROACH LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW.09930846CO
2104100000XSocial WorkerLSW.0009923673CO

General Provider Information

NPI Number : 1255060984
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA ROACH LCSW
Provider Business Mailing Address
First Line : 5164 ESSEX AVE
Second Line :
City : CASTLE ROCK
State : CO
Zip : 80104-8570
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7900 E UNION AVE STE 1100
Second Line :
City : DENVER
State : CO
Zip : 80237-2746
Country : US
Telephone Number : 720-334-7610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2022
Last Update Date : 06/04/2026

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Directions to “ JULIA ROACH LCSW” Practice Location

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