Active NPI
Samaria Gethsemane Roman
- Clinical Social Worker
- Arcadia, CA
National Provider Identifier
1306497136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 90610
- Practice address
- 50 E Foothill Blvd Ste 300
Arcadia, CA 91006-2314 - Phone
- (626) 919-3579
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 90610 | CA | Primary |
Addresses
Primary practice location
50 E Foothill Blvd Ste 300
Arcadia, CA 91006-2314
Mailing address
815 Colorado Blvd Ste 300
Los Angeles, CA 90041-1744
Phone (323) 543-2800
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 |
|---|---|---|---|
| 90610 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1306497136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 COLORADO BLVD STE 300",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900411744",
"telephone_number": "323-543-2800",
"fax_number": "323-978-1263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E FOOTHILL BLVD STE 300",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062314",
"telephone_number": "626-919-3579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN",
"first_name": "SAMARIA",
"middle_name": "GETHSEMANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "90610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.