Heather R Romatowski, BSW, SAC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Phillips, WI

NPI 1073005757 · NPPES record last updated May 30, 2018

Key facts

NPI
1073005757
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
16114-131 (WI)
Practice address
171 Chestnut St
Phillips, WI 54555-1313
Phone
(715) 339-3048
Fax
(715) 339-2436
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
16114-131WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Development Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 16114-131 WI Yes

Addresses

Primary practice location

171 Chestnut St
Phillips, WI 54555-1313

Mailing address

PO Box 71
Phillips, WI 54555-0071
Phone (715) 339-3048

Other identifiers

IdentifierTypeStateIssuer
7986-120OtherWISOCIAL WORKER
16114-131OtherWISUBSTANCE ABUSE COUNSELOR

Other names

  • Ms. Heather R Block Former name

Other providers in Phillips, WI

All providers in Phillips, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.