Active NPI
Alexis Alexis Romen, LMSW
- Clinical Social Worker
- Phoenix, AZ
National Provider Identifier
1326818758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW-13248
- Practice address
- 16515 S 40TH St
Phoenix, AZ 85048-0558 - Phone
- (480) 272-8450
- NPI assigned
- Jan 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | LMSW-13248 | AZ | Primary |
Addresses
Primary practice location
16515 S 40TH St
Phoenix, AZ 85048-0558
Mailing address
16515 S 40TH St Ste 119
Phoenix, AZ 85048-0559
Phone (480) 272-8450
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 |
|---|---|---|---|
| LMSW-13248 | AZ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704412800000",
"number": "1326818758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16515 S 40TH ST STE 119",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480559",
"telephone_number": "480-272-8450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16515 S 40TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850480558",
"telephone_number": "480-272-8450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMEN",
"first_name": "ALEXIS",
"middle_name": "ALEXIS",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-05",
"last_updated": "2024-01-05",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LMSW-13248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.