Organization Active NPI

Leticia Roman Licensed Clinical Social Worker Prof. Corp.

  • Clinical Social Worker
  • Pasadena, CA
National Provider Identifier
1659050599
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LETICIA ROMAN LICENSED CLINICAL SOCIAL WORKER PROF. CORP.
Practice address
595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028
Phone
(626) 214-5308
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Ms. Leticia Roman, LCSW
Title
LCSW
Phone
(626) 214-5308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028

Mailing address

595 E Colorado Blvd Ste 205
Pasadena, CA 91101-2028
Phone (626) 214-5308

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1659050599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "626-214-5308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 205",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012028",
            "telephone_number": "626-214-5308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETICIA ROMAN LICENSED CLINICAL SOCIAL WORKER PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "626-214-5308",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2023; 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.