Individual provider Active NPI

Renee Anne Romine, LCSW

  • Clinical Social Worker
  • Decatur, TX
National Provider Identifier
1861014839
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51303 Issued in TX
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

Updated by the provider on Jan 26, 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 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

IdentifierTypeStateIssuer
8RH259OtherTXBCBS
1861014839MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210913002584 TX Practitioner - Clinical Social Worker 8729484936 Reassigns benefits to 3 organizations

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
Center for Emotional Wellness PCGroup PAC ID 1153773155, 5 clinicians

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

LicenseStateTypeSpecialty
51303TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Transforming Lives Current Accepting new patients
Wise Clinical Care Associates Clinical CurrentSince Mar 7, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 7, 2021 Accepting new patients
Center for Emotional Wellness, PC CurrentSince Nov 28, 2023 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.

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

Verify at the official NPI Registry.