Individual provider Active NPI

Maria Enid Roman Morales, MSW

  • Clinical Social Worker
  • Springfield, MA
National Provider Identifier
1851686000
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
013723 Issued in CT
Practice address
1380 Main St Ste 415
Springfield, MA 01103-1440
Phone
(413) 459-8655
Fax
(413) 455-2708
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 10571 PR
Mental Health Counselor 101YM0800X 18842 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 20402 MA
Clinical Social Worker 1041C0700X 013723 CT Primary
Professional Counselor 101YP2500X 3196 CT
Mental Health Counselor 101YM0800X 10575 MA

Addresses

Primary practice location

1380 Main St Ste 415
Springfield, MA 01103-1440

Mailing address

1111 Elm St Ste 3
West Springfield, MA 01089-1540
Phone (413) 459-8655

Other practice location 1

25 Bond St
Springfield, MA 01104-3401
Phone (413) 731-6007

Other identifiers 3

IdentifierTypeStateIssuer
1307576MedicaidMA
M18463OtherBLUE CROSS/BLUE SHIELD
1303295MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240122000704 MA Practitioner - Mental Health Counselor 5092167411 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20402MAMDAddiction (Substance Use Disorder) Counselor
10575MAMDMental Health Counselor
18842NCMDMental Health Counselor
013723CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Allies, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Gandara Mental Health Center Past Accepting new patients

Locations

174 South Rd
Ste 106
Enfield, CT 06082

1380 Main St
Ste 415
Springfield, MA 01103
Phone (413) 459-8655

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1851686000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ELM ST STE 3",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891540",
            "telephone_number": "413-459-8655",
            "fax_number": "413-455-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 MAIN ST STE 415",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011031440",
            "telephone_number": "413-459-8655",
            "fax_number": "413-455-2708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 Bond St",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011043401",
            "country_code": "US",
            "telephone_number": "413-731-6007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMAN MORALES",
        "first_name": "MARIA",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "10571",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18842",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "20402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "013723",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "3196",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1307576",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "M18463",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1303295",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.