Jose Enrique Roman, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW11161 Issued in FL

Practice address

4131 NW 28TH LN
Suite 6
Gainesville, FL 32606-7432

Phone

(352) 375-3001

NPI assigned

Jan 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beth Shubert, PA

  • Clinical Social Worker
  • Gainesville, FL
  • NPI 1538430822
  NPD (past)
• Eric Diamond PHD PA

  • Clinical Psychologist
  • Gainesville, FL
  • NPI 1922278183
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1386981652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 NW 78TH LN",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326531163",
            "telephone_number": "201-406-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 NW 28TH LN",
            "address_2": "SUITE 6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326067432",
            "telephone_number": "352-375-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JOSE",
        "middle_name": "ENRIQUE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "LCSW11161",
            "primary": true
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "FL",
            "license": "LCSW 11161",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Elizabeth Rollins, PHARM. D
• Robert Tyler Rollins, DO
• Sandra Enid Rolon-Latorre, PHARMD
• Laura E Roman Cardona, M.D.
• Jan Roman, DC
• Regina Beth Romblad, LCSW
• Rebecca Ann Marie Rome, APRN
• Stephanie Alexandrea Romelus
• Ashley Romeo, ARNP
• Crystal Lee Romero, MD

• Clinical Social Worker in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.