Active NPI
Jenna Rose Romano LLC
- Clinical Social Worker
- Oceanport, NJ
National Provider Identifier
1306336557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JENNA ROSE ROMANO LLC
- Practice address
- 108 Main St Ste 7
Oceanport, NJ 07757-1030 - Phone
- (732) 859-2502
- NPI assigned
- May 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenna R Romano, LCSW, LCADC
- Title
- Owner
- Phone
- (732) 859-2502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Marriage & Family Therapist | 106H00000X |
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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0506303 | Medicaid | NJ |
Other names 1
- Jersey Shore Wellness Studio
National Provider Directory
National Provider DirectoryLocations
108 Main St
Ste 7
Oceanport, NJ 07757
Phone (732) 547-8336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526256000000",
"number": "1306336557",
"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": [],
"basic": {
"organization_name": "JENNA ROSE ROMANO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-14",
"last_updated": "2018-05-14",
"status": "A",
"authorized_official_last_name": "ROMANO",
"authorized_official_first_name": "JENNA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-859-2502",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW, LCADC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0506303",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jersey Shore Wellness Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
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 14, 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.