Shannon Marie Romine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34005117A Issued in IN

Practice address

8920 Southpointe Dr
Suite E-2
Indianapolis, IN 46227-7509

Phone

(317) 882-0427

Fax

(317) 882-0851

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Community Health Network, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Indianapolis, IN
  • NPI 1265477632
  NPD (past)
• Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Elkton, MD
  • NPI 1437649068
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407866148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR",
            "address_2": "SUITE E-2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277509",
            "telephone_number": "317-882-0427",
            "fax_number": "317-882-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 SOUTHPOINTE DR",
            "address_2": "SUITE E-2",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462277509",
            "telephone_number": "317-882-0427",
            "fax_number": "317-882-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINE",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34005117A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11590155",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leonardo Fabricio Romero, APRN
• Mayra Romero
• Mithushielah Romero
• Ruth Romero
• Susan Sheley Romie, M.S.
• Adam Rominger, PHARMD
• Cynthia S. Rominger, CFA
• Helen C Rominger, N.P.
• Mary Elizabeth Rominger, RN, NP
• Laura Romito, DDS

• Clinical Social Worker in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.