Active NPI
Marisela G Romero Alvarez, LCSW
- Clinical Social Worker
- Burlingame, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104259
- Practice address
- 287 Lorton Ave
Burlingame, CA 94010-4203 - Phone
- (800) 505-5972
- NPI assigned
- Sep 9, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10410000XASW | ||
| Social Worker | 104100000X | 82190 | CA | |
| Clinical Social Worker | 1041C0700X | 104259 | CA | Primary |
Addresses
Primary practice location
287 Lorton Ave
Burlingame, CA 94010-4203
Mailing address
6569 N Riverside Dr Ste 102-176
Fresno, CA 93722-9318
Phone (800) 505-5972
Other practice location 1
209 E 7th St
Madera, CA 93638
Phone (559) 673-3508
Other practice location 2
100 W Walnut St
Pasadena, CA 91124
Phone (626) 395-7100
Other practice location 3
6051 N Fresno St Ste 201
Fresno, CA 93710-5280
Phone (559) 248-8550
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104259 | CA | MD | Marriage & Family Therapist |
| 82190 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lyra Clinical of New Jersey P.C. | Social Worker | Current | Accepting new patients |
| Lyra Clinical Associates P.C. | Social Worker | Past | Accepting new patients |
Locations
287 Lorton Ave
Burlingame, CA 94010
Phone (512) 609-0330
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, 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": "1441756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1821466723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6569 N RIVERSIDE DR STE 102-176",
"city": "FRESNO",
"state": "CA",
"postal_code": "937229318",
"telephone_number": "800-505-5972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "287 LORTON AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104203",
"telephone_number": "800-505-5972"
}
],
"practiceLocations": [
{
"address_1": "209 E 7th St",
"address_purpose": "LOCATION",
"city": "Madera",
"state": "CA",
"postal_code": "93638",
"country_code": "US",
"telephone_number": "559-673-3508",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 W Walnut St",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "91124",
"country_code": "US",
"telephone_number": "626-395-7100",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6051 N Fresno St Ste 201",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937105280",
"country_code": "US",
"telephone_number": "559-248-8550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMERO ALVAREZ",
"first_name": "MARISELA",
"middle_name": "G",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-09",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": "10410000XASW",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "82190",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "104259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.