Individual provider Active NPI

Kenia Y Romero Romero

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1043171093
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4801 E Independence Blvd Ste 204
Charlotte, NC 28212-5408
Phone
(704) 502-9397
NPI assigned
Nov 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4801 E Independence Blvd Ste 204
Charlotte, NC 28212-5408

Mailing address

564 Old NC 277 Rd
Bessemer City, NC 28016-6735
Phone (843) 288-9402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Counseling Center - Access CurrentSince Nov 24, 2025 Accepting new patients

Locations

4801 E Independence Blvd
Ste 204
Charlotte, NC 28212
Phone (704) 502-9397

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1043171093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "564 OLD NC 277 RD",
            "city": "BESSEMER CITY",
            "state": "NC",
            "postal_code": "280166735",
            "telephone_number": "843-288-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E INDEPENDENCE BLVD STE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282125408",
            "telephone_number": "704-502-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO ROMERO",
        "first_name": "KENIA",
        "middle_name": "Y",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.