Individual provider Active NPI

Karl D Roman, LMSW, LSW,LCSW

  • Clinical Social Worker
  • Pompton Lakes, NJ
National Provider Identifier
1528517372
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05978700 Issued in NJ
Practice address
400 Ramapo Ave
Pompton Lakes, NJ 07442-1825
Phone
(973) 858-8163
Fax
(862) 666-1074
NPI assigned
Sep 21, 2016
Last updated
Mar 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Social Worker 104100000X 098850 NY
Social Worker 104100000X 44SC05978700 NJ
Clinical Social Worker 1041C0700X 107834 TX
Clinical Social Worker 1041C0700X 44SC05978700 NJ Primary
Clinical Social Worker 1041C0700X SW23323 FL
Clinical Social Worker 1041C0700X 090668 NY

Addresses

Primary practice location

400 Ramapo Ave
Pompton Lakes, NJ 07442-1825

Mailing address

PO Box 493
Pompton Lakes, NJ 07442-0493
Phone (973) 858-8163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NY, FL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210303001082 NJ Practitioner - Clinical Social Worker 2769898519 Reassigns benefits to 2 organizations
I20220713004160 TX Practitioner - Clinical Social Worker 2769898519 Reassigns benefits to 1 organization
I20220908001210 NY Practitioner - Clinical Social Worker 2769898519 Reassigns benefits to 1 organization
I20240818000047 FL Practitioner - Clinical Social Worker 2769898519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bring HopeGroup PAC ID 7214343060, 3 clinicians

Practice addresses (Care Compare)

300 1St Ave
Apt 6G
New York, NY 10009-1843
Phone (973) 858-8163

400 Ramapo Ave
Pompton Lakes, NJ 07442-1825
Phone 97385881631

5900 Balcones Dr
Suite 100
Austin, TX 78731-4298
Phone (973) 858-8163

610 Colfax Dr
Daytona Beach, FL 32114-1717
Phone 97385881631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05978700NJMDSocial Worker
098850NYMDSocial Worker
SW23323FLMDClinical Social Worker
090668NYMDClinical Social Worker
107834TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bring Hope CurrentSince Aug 1, 2024 Accepting new patients
Four Directions Wellness Inc. Current Accepting new patients
Bring Hope Addiction (Substance Use Disorder) CurrentSince May 8, 2020 Accepting new patients
Family Service Bureau of Newark CurrentSince Sep 1, 2021 Accepting new patients

Locations

379 Kearny Ave
Kearny, NJ 07032
Phone (201) 246-1357

274 S Orange Ave
Newark, NJ 07103
Phone (973) 412-2056

123 Wanaque Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

23 Colfax Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

400 Ramapo Ave
Pompton Lakes, NJ 07442
Phone (973) 858-8163

5900 Balcones Dr
Ste 100
Austin, TX 78731

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1474416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1528517372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 493",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074420493",
            "telephone_number": "973-858-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RAMAPO AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421825",
            "telephone_number": "973-858-8163",
            "fax_number": "862-666-1074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "KARL",
        "middle_name": "D",
        "credential": "LMSW, LSW,LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-21",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "098850",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05978700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107834",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05978700",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW23323",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "090668",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompton Lakes, NJ

Sources for this page

Verify at the official NPI Registry.