Individual provider Active NPI

Carisia Roman, LCSW

  • Clinical Social Worker
  • Fort Lauderdale, FL
National Provider Identifier
1871809921
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9730 Issued in FL
Practice address
3333 NE 34TH St Apt 303
Fort Lauderdale, FL 33308-6904
Phone
(954) 399-2101
NPI assigned
Aug 27, 2010
Reactivated
Mar 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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 SW9730 FL Primary

Addresses

Primary practice location

3333 NE 34TH St Apt 303
Fort Lauderdale, FL 33308-6904

Mailing address

3333 NE 34TH St Apt 303
Ft Lauderdale, FL 33308-6904
Phone (954) 399-2101

Other names 1

  • Caris Roman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20251119002451 FL Practitioner - Clinical Social Worker 2264923036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Living Memory Health IncGroup PAC ID 7517480577, 113 clinicians

Practice addresses (Care Compare)

1290 N Federal Hwy
Fort Lauderdale, FL 33304-1481
Phone (786) 414-6666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW9730FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Living Memory Health, Inc. CurrentSince Oct 7, 2025 Accepting new patients

Locations

2000 Lowson Blvd
Delray Beach, FL 33445
Phone (561) 454-2000

16853 NE 2nd Ave
Ste 304
North Miami Beach, FL 33162
Phone (954) 907-1817

Organizations & group practices 1

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": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1871809921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 NE 34TH ST APT 303",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086904",
            "telephone_number": "954-399-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NE 34TH ST APT 303",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333086904",
            "telephone_number": "954-399-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CARISIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "deactivation_date": "2012-04-19",
        "reactivation_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARIS",
            "last_name": "ROMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.