Individual provider Active NPI

Christina M Romero, LMSW

  • Clinical Social Worker
  • Warren, MI
National Provider Identifier
1750972519
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106419 Issued in MI
Practice address
12200 E 13 Mile Rd
Warren, MI 48093-3093
Phone
(586) 573-1810
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801106419 MI Primary

Addresses

Primary practice location

12200 E 13 Mile Rd
Warren, MI 48093-3093

Mailing address

12200 E 13 Mile Rd Ste 200
Warren, MI 48093-3093
Phone (585) 573-1810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240411004513 MI Practitioner - Clinical Social Worker 5597104455 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106419MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Judson Center, Inc. CurrentSince Feb 18, 2024 Accepting new patients
Judson Center, Inc. CurrentSince Feb 18, 2024 Accepting new patients
County of Macomb CurrentSince Mar 19, 2024 Accepting new patients
County of Macomb CurrentSince Mar 19, 2024 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

30301 Northwestern Hwy
Ste 100
Farmington Hills, MI 48334
Phone (248) 549-4339

12200 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (586) 573-1810

12200 E 13 Mile Rd
Warren, MI 48093
Phone (586) 573-1810

12220 E 13 Mile Rd
Ste 200
Warren, MI 48093
Phone (866) 558-3766

Organizations & group practices 4

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": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1750972519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD STE 200",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "585-573-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933093",
            "telephone_number": "586-573-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.