Individual provider Active NPI

Kathleen Romanick, LCSW

  • Clinical Social Worker
  • Ellijay, GA
National Provider Identifier
1457413254
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW003672 Issued in GA
Practice address
329 River St
Ellijay, GA 30540-3767
Phone
(706) 669-3027
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW003672 GA Primary

Addresses

Primary practice location

329 River St
Ellijay, GA 30540-3767

Mailing address

96 Craig St Ste 112-136
East Ellijay, GA 30540-8609
Phone (706) 669-3027

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

State licenses

LicenseStateTypeSpecialty
LCSW003672GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kathy Romanick Licensed Clinical Social Worker an LLC Clinical Current Accepting new patients
Highland Rivers Center, CSB Past Accepting new patients
Highland Rivers Center, CSB Past Accepting new patients

Locations

96 Craig St
Ste 112136
East Ellijay, GA 30540

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1457413254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CRAIG ST STE 112-136",
            "city": "EAST ELLIJAY",
            "state": "GA",
            "postal_code": "305408609",
            "telephone_number": "706-669-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 RIVER ST",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305403767",
            "telephone_number": "706-669-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANICK",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "LCSW003672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.