Christian Daniel Roman-Ramirez, DSW

Individual provider Active NPI Clinical Social Worker · Townsend, MA

NPI 1346522018 · NPPES record last updated Feb 5, 2023

Key facts

NPI
1346522018
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
9426 (PR)
Practice address
172 Fitchburg Rd
Townsend, MA 01469-1261
Phone
(939) 243-8765
NPI assigned
Sep 19, 2011
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9426PRMDSocial Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9426 PR
Clinical Social Worker 1041C0700X 9426 PR Yes

Addresses

Primary practice location

172 Fitchburg Rd
Townsend, MA 01469-1261

Mailing address

172 Fitchburg Rd
Townsend, MA 01469-1261
Phone (939) 243-8765

Other practice location 1

1544 Columbus Ave
Roxbury, MA 02119-1026
Phone (857) 366-7040 ext. 557

Other providers in Townsend, MA

All providers in Townsend, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.