Roman Clinical Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11070 Issued in SC

Legal business name

ROMAN CLINICAL CONSULTING, LLC

Practice address

917 Broadway St Ste 3
Myrtle Beach, SC 29577-3718

Phone

(843) 582-7887

Fax

(843) 800-0061

NPI assigned

Dec 29, 2015

Organization subpart

No

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

Authorized official

Name

Mr. John Anthony Roman II, LISW-CPNPI 1073924114

Title

Owner

Phone

(843) 582-7887

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Anthony Roman II, LISW-CP

  • Clinical Social Worker
  • Myrtle Beach, SC
  • NPI 1073924114
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1295190734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 BROADWAY ST STE 3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773718",
            "telephone_number": "843-582-7887",
            "fax_number": "843-800-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 BROADWAY ST STE 3",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295773718",
            "telephone_number": "843-582-7887",
            "fax_number": "843-800-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROMAN CLINICAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-582-7887",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LISW-CP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Rogowski, OTR
• Taylor Jordyn Rohm
• Jenna Olsen Rojek, PA-C
• Amanda Elizabeth Roldan
• Catie R Rollins
• John Anthony Roman II, LISW-CP
• Jessica Vanessa Romero, M.D.
• Ronald Cassidy LPC
• Amy Root, RN
• Rooted in Care LLC

• Clinical Social Worker in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.