Jacquelyn Romano, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

093300 Issued in NY

Practice address

115 Pequa Place
Massapequa, NY 11758

Phone

(516) 965-5637

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southeast Nassau Guidance Center Inc.

  • Community/Behavioral Health Agency
  • Wantagh, NY
  • NPI 1124131461
  NPD (past)

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1124683974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PEQUA PLACE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-965-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PEQUA PLACE",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-965-5637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Woodbury Rd",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NY",
            "postal_code": "117971411",
            "country_code": "US",
            "telephone_number": "516-965-5637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JACQUELYN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "093300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen Rolon, M.A. CCC-SLP
• Christina Rom, PHARMD
• Farah Romain, LPN
• Theresa Michelle Romaine
• Anne Veronica Romano
• Danielle B Romanoff
• Kyra Anne Romeo
• Salvatore Anthony Romeo, D.D.S., P.C.
• Ryan Rommel
• Rose Wellness of Ny

• Social Worker in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.