Jaclyn Romo, ACSW
Individual provider Active NPI Clinical Social Worker · Round Mountain, CA
NPI 1497581326 · NPPES record last updated Sep 9, 2024
Key facts
- NPI
- 1497581326
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 118684 (CA)
- Practice address
- PO Box 228
Round Mountain, CA 96084-0228 - Phone
- (530) 337-5750
- NPI assigned
- Sep 9, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118684 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118684 | CA | Yes |
Addresses
Primary practice location
PO Box 228
Round Mountain, CA 96084-0228
Mailing address
PO Box 228
Round Mountain, CA 96084-0228
Phone (530) 337-5750
Other practice location 1
1024 Mistletoe Ln Ste B
Redding, CA 96002-0753
Phone (530) 337-6263
Other practice location 2
1401 Gold St Ste A
Redding, CA 96001-1937
Phone (530) 319-7066
Other providers in Round Mountain, CA
- Gerard William Long
- Mikhaelii Maplesden
- Lester Diaz Martinez
- Christopher David Nelson
- Hannah McKenzie Pearson
- Happy Star Shaw
- William Hunter Sutherland
- Kenna Rose Tyree
- Alexandria Walesch
- Lisa Rena Williams
All providers in Round Mountain, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.