Active NPI
Renee Anne Romine, LCSW
- Clinical Social Worker
- Decatur, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 51303
- Practice address
- 1602 W Business 380 Ste 100
Decatur, TX 76234-3267 - Phone
- (940) 539-0683
- Fax
- (940) 228-0651
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 51303 | TX | Primary |
Addresses
Primary practice location
1602 W Business 380 Ste 100
Decatur, TX 76234-3267
Mailing address
PO Box 2078
Decatur, TX 76234-6156
Phone (940) 539-8128
Other practice location 1
248 Cedar Crest Dr
Justin, TX 76247-7003
Phone (817) 701-8722
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8RH259 | Other | TX | BCBS |
| 1861014839 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1602 W Business
380 Suite 100
Decatur, TX 76234-3267
Phone (940) 539-0683
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51303 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Transforming Lives | Current | Accepting new patients | |
| Wise Clinical Care Associates | Clinical | Current | Accepting new patients |
| Sondermind Provider Network LLC | Clinical | Current | Accepting new patients |
| Center for Emotional Wellness, PC | Current | Accepting new patients | |
| Stepping Stones Counseling | Current | Accepting new patients |
Locations
2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958
133 N FM 730
Unit 105
Boyd, TX 76023
Phone (940) 433-2151
1602 W Business 380
Ste 100
Decatur, TX 76234
Phone (940) 539-0683
Organizations & group practices 5
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.
-
- Mental Health Counselor
- Decatur, TX
- NPI 1730953449
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rhome, TX
- NPI 1154256105
-
- Community/Behavioral Health Agency
- Ft Worth, TX
- NPI 1669076097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1861014839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2078",
"city": "DECATUR",
"state": "TX",
"postal_code": "762346156",
"telephone_number": "940-539-8128",
"fax_number": "940-228-0651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W BUSINESS 380 STE 100",
"city": "DECATUR",
"state": "TX",
"postal_code": "762343267",
"telephone_number": "940-539-0683",
"fax_number": "940-228-0651"
}
],
"practiceLocations": [
{
"address_1": "248 Cedar Crest Dr",
"address_purpose": "LOCATION",
"city": "Justin",
"state": "TX",
"postal_code": "762477003",
"country_code": "US",
"telephone_number": "817-701-8722",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMINE",
"first_name": "RENEE",
"middle_name": "ANNE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "51303",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8RH259",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861014839",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.