Individual provider Active NPI

Amy Michelle Rominski, LSW

  • Clinical Social Worker
  • Glen Rock, PA
National Provider Identifier
1578086567
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW021881 Issued in PA
Practice address
10485 Foust Rd
Glen Rock, PA 17327-8325
Phone
(717) 873-1270
Fax
(717) 840-9488
NPI assigned
Jul 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW021881 PA Primary
Social Worker 104100000X SW132822 PA

Addresses

Primary practice location

10485 Foust Rd
Glen Rock, PA 17327-8325

Mailing address

10485 Foust Rd
Glen Rock, PA 17327-8325
Phone (717) 873-1270

Other names 1

  • Amy Michelle Langlotz Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210630000115 PA Practitioner - Clinical Social Worker 5890196794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW132822PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Side Behavioral Health Clinical CurrentSince Jul 21, 2024 Accepting new patients
T.W. Ponessa & Associates Counseling Services, Inc. CurrentSince Jun 17, 2021 Accepting new patients

Locations

410 N Prince St
Lancaster, PA 17603

15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992

Organizations & group practices 2

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": "1500508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578086567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 FOUST RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278325",
            "telephone_number": "717-873-1270",
            "fax_number": "717-840-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 FOUST RD",
            "city": "GLEN ROCK",
            "state": "PA",
            "postal_code": "173278325",
            "telephone_number": "717-873-1270",
            "fax_number": "717-840-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMINSKI",
        "first_name": "AMY",
        "middle_name": "MICHELLE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW021881",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW132822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LANGLOTZ",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Rock, PA

Sources for this page

Verify at the official NPI Registry.