Individual provider Active NPI

Micaela Romero, LCSW

  • Clinical Social Worker
  • Alamosa, CO
National Provider Identifier
1003435546
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW.09926292 Issued in CO
Practice address
2115 Stuart Ave
Alamosa, CO 81101-2269
Phone
(719) 589-8008
NPI assigned
Apr 14, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 59318 TX
Clinical Social Worker 1041C0700X CSW.09926292 CO Primary

Addresses

Primary practice location

2115 Stuart Ave
Alamosa, CO 81101-2269

Mailing address

PO Box 454
Manassa, CO 81141-0454
Phone (719) 250-1183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507002440 CO Practitioner - Clinical Social Worker 1658702600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2115 Stuart Ave
Alamosa, CO 81101-2269
Phone (719) 589-3000

Merit-based Incentive Payment System (MIPS)

Final score
85.41 of 100Reported as group
Quality
70.25
Promoting interoperability
100
Improvement activities
40
Cost
67.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59318TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Hospital Association of the San Luis Valley CurrentSince May 18, 2020 Accepting new patients
Lutheran Hospital Association of the San Luis Valley CurrentSince May 18, 2020 Accepting new patients

Locations

2115 Stuart Ave
Alamosa, CO 81101
Phone (719) 589-3000

310 County Road 14
Del Norte, CO 81132
Phone (719) 657-2510

19021 US Highway 285
La Jara, CO 81140
Phone (719) 274-5121

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1003435546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "MANASSA",
            "state": "CO",
            "postal_code": "811410454",
            "telephone_number": "719-250-1183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 STUART AVE",
            "city": "ALAMOSA",
            "state": "CO",
            "postal_code": "811012269",
            "telephone_number": "719-589-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "MICAELA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59318",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09926292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alamosa, CO

Sources for this page

Verify at the official NPI Registry.