Camille Phyllis Roman, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

RPO14635 Issued in NY

Practice address

110 East 82ND Street
New York, NY 10028

Phone

(718) 225-5070

NPI assigned

Mar 6, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Camille Phyllis Roman Cacopardo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891825493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CIRCLE ROAD",
            "city": "DOUGLASTOWN",
            "state": "NY",
            "postal_code": "113631301",
            "telephone_number": "718-225-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EAST 82ND STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10028",
            "telephone_number": "718-225-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "CAMILLE",
        "middle_name": "PHYLLIS",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RPO14635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMILLE",
            "last_name": "ROMAN CACOPARDO",
            "middle_name": "PHYLLIS",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yenifer Roman B., RN
• Roman Isaac, MD
• Roman Trakhtenberg DDS PLLC
• Blanca Roman-Morales
• Benjamin Raphael Roman, MD
• Cheryl Roman
• Claudia Roman
• Cristobal Roman, M.D.
• Doris Roman, NP
• Doris Roman, SOICIAL WORKER

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.