Active NPI
Emily Roman
- Clinical Social Worker
- El Segundo, CA
National Provider Identifier
1447793906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 300 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4479 - Phone
- (000) 000-0000
- NPI assigned
- Nov 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
300 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4479
Mailing address
300 N Pacific Coast Hwy Ste 2060
El Segundo, CA 90245-4479
Other practice location 1
21081 S Western Ave Ste 295
Torrance, CA 90501-1707
Phone (310) 533-6600
Other practice location 2
9650 Zelzah Ave
Northridge, CA 91325-2003
Phone (818) 993-9311
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Los Angeles County Department of Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba TIES for Families
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Torrance, CA
- NPI 1184842148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1447793906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N PACIFIC COAST HWY STE 2060",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N PACIFIC COAST HWY STE 2060",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902454479",
"telephone_number": "000-000-0000"
}
],
"practiceLocations": [
{
"address_1": "21081 S Western Ave Ste 295",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905011707",
"country_code": "US",
"telephone_number": "310-533-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9650 Zelzah Ave",
"address_purpose": "LOCATION",
"city": "Northridge",
"state": "CA",
"postal_code": "913252003",
"country_code": "US",
"telephone_number": "818-993-9311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMAN",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.