Active NPI
Lindsey Romo, CSWA
- Clinical Social Worker
- Gresham, OR
National Provider Identifier
1083492292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- A14512
- Practice address
- 1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774 - Phone
- (503) 666-8832
- NPI assigned
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | A14512 | OR | |
| Clinical Social Worker | 1041C0700X | A14512 | OR | Primary |
| Mental Health Counselor | 101YM0800X | 23-QMHA-R-4446 | OR |
Addresses
Primary practice location
1700 NW Civic Dr Ste 310
Gresham, OR 97030-3774
Mailing address
1625 SE Roberts Dr Apt D121
Gresham, OR 97080-1104
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23-QMHA-R-4446 | OR | MD | Mental Health Counselor |
| A14512 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1083492292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1625 SE ROBERTS DR APT D121",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970801104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 NW CIVIC DR STE 310",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303774",
"telephone_number": "503-666-8832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMO",
"first_name": "LINDSEY",
"credential": "CSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "A14512",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OR",
"license": "A14512",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "23-QMHA-R-4446",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.