Richard Jeffrey Roman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR026982 Issued in NY

Practice address

203 W Thomas St
Rome, NY 13440-5007

Phone

(315) 337-4435

Fax

(315) 337-4435

NPI assigned

Aug 4, 2006

Sex

Male

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

Enrolled in NY

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

Medicare enrollment (NPD)

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.

• Ronald D Moore DC

  • Chiropractor
  • Rome, NY
  • NPI 1346322617
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184632200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6731 BUTTS RD",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134408739",
            "telephone_number": "315-337-4435",
            "fax_number": "315-337-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405007",
            "telephone_number": "315-337-4435",
            "fax_number": "315-337-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "RICHARD",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR026982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaia Sharron Robinson, LPN
• Kenneth Robinson, DMD
• David Rodriguez, M.D.
• Maureen Eleanor Roe, PT
• Patrice Roman
• Rome Anesthesia Associates, P.C.
• Rome Center LLC
• Rome Center LLC
• Rome Central School District
• Rome City School District

• Clinical Social Worker in Rome, NY
• Providers in Rome, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.