Sandra O Romano, LICSW

Individual provider Active NPI Clinical Social Worker · West Kingston, RI

NPI 1831671163 · NPPES record last updated Sep 4, 2018

Key facts

NPI
1831671163
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
110172-SW-LICSW (MA)
Practice address
160 James TRL
West Kingston, RI 02892-1703
Phone
(401) 783-0964
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
110172-SW-LICSWMAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 110172-SW-LICSW MA Yes

Addresses

Primary practice location

160 James TRL
West Kingston, RI 02892-1703

Mailing address

160 James TRL
West Kingston, RI 02892-1703
Phone (401) 783-0964

Other providers in West Kingston, RI

All providers in West Kingston, RI · Clinical Social Worker in Rhode Island

Sources for this page

Verify at the official NPI Registry.