Active NPI
Daniel C Roman, LMSW
- Social Worker
- Poughkeepsie, NY
National Provider Identifier
1285300087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111914
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601-1328 - Phone
- (845) 485-9700
- NPI assigned
- Aug 20, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111914 | NY | Primary |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601-1328
Mailing address
85 Civic Center PLZ Ste 106
Poughkeepsie, NY 12601-2446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841287190 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://ansoaz.cernerworks.com/Citrix/PRODWeb/ |
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 |
|---|---|---|---|
| 111914 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629417600000",
"number": "1285300087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 CIVIC CENTER PLZ STE 106",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011328",
"telephone_number": "845-485-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "DANIEL",
"middle_name": "C",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-20",
"last_updated": "2021-08-20",
"certification_date": "2021-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111914",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841287190",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://ansoaz.cernerworks.com/Citrix/PRODWeb/",
"affiliation": "N",
"address_1": "230 North Rd",
"city": "Poughkeepsie",
"state": "NY",
"country_code": "US",
"postal_code": "126011328",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.