Individual provider Active NPI

Jenna R Romano, LCSW, LCADC

  • Clinical Social Worker
  • Oceanport, NJ
National Provider Identifier
1205100211
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC0549600 Issued in NJ
Practice address
108 Main St Ste 7
Oceanport, NJ 07757-1030
Phone
(732) 859-2502
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2018

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 44SC0549600 NJ Primary

Addresses

Primary practice location

108 Main St Ste 7
Oceanport, NJ 07757-1030

Mailing address

108 Main St Ste 7
Oceanport, NJ 07757-1030
Phone (732) 859-2502

Other practice location 1

57 Monmouth Rd
Suite 301
Oakhurst, NJ 07755-1630
Phone (732) 859-2502

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

LicenseStateTypeSpecialty
44SC0549600NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jenna Rose Romano LLC Clinical Past Accepting new patients

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": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1205100211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MAIN ST STE 7",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-859-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAIN ST STE 7",
            "city": "OCEANPORT",
            "state": "NJ",
            "postal_code": "077571030",
            "telephone_number": "732-859-2502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Monmouth Rd",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Oakhurst",
            "state": "NJ",
            "postal_code": "077551630",
            "country_code": "US",
            "telephone_number": "732-859-2502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANO",
        "first_name": "JENNA",
        "middle_name": "R",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC0549600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanport, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2018; 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.