Active NPI
Jaroslaw Richard Romaniuk, PH.D., LISW, LICDC,
- Clinical Social Worker
- Wickliffe, OH
National Provider Identifier
1609886654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I.0009524
- Practice address
- 29166 Euclid Ave
Wickliffe, OH 44092-2473 - Phone
- (216) 285-9969
- Fax
- (888) 585-4189
- NPI assigned
- Aug 9, 2006
- Last updated
- May 1, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.0009524 | OH | Primary |
Addresses
Primary practice location
29166 Euclid Ave
Wickliffe, OH 44092-2473
Mailing address
29166 Euclid Ave
Wickliffe, OH 44092-2473
Phone (216) 285-9969
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V010100 | Other | OH | CLINICAL SOCIAL WORKER |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I.0009524 | OH | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1609886654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29166 EUCLID AVE",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440922473",
"telephone_number": "216-285-9969",
"fax_number": "888-585-4189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29166 EUCLID AVE",
"city": "WICKLIFFE",
"state": "OH",
"postal_code": "440922473",
"telephone_number": "216-285-9969",
"fax_number": "888-585-4189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMANIUK",
"first_name": "JAROSLAW",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PH.D., LISW, LICDC,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I.0009524",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINICAL SOCIAL WORKER",
"identifier": "V010100",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wickliffe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.