Diana Roman, LSCW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085046 Issued in NY

Practice address

4305 Crest LN
Fort Lee, NJ 07024-2232

Phone

(917) 420-6645

NPI assigned

Oct 15, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1437757994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 CREST LN",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242232",
            "telephone_number": "917-420-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 CREST LN",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070242232",
            "telephone_number": "917-420-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "DIANA",
        "credential": "LSCW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vivian Rivelo-Mauriello, D.M.D.
• Genesis Minnelly Rivera
• Roger Antonio Rivera, MD
• Riverpoint Wellness Group LLC
• Andrew M. Rodgers, DC
• Sonia M Rosado, LMT
• David W Rosen, D.D.S.
• Arlene Michele Rosenberg Henick, MD
• Harrison Leigh Rosenberg, OD
• Michael Eric Rosenberg, M.D.

• Clinical Social Worker in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.