Active NPI
Lisa R Romero, LCSW
- Clinical Social Worker
- Riverside, CA
National Provider Identifier
1962581918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62690
- Practice address
- 19069 Van Buren Blvd
Ste 114-223
Riverside, CA 92508-9169 - Phone
- (951) 776-8421
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 62690 | CA | Primary |
Addresses
Primary practice location
19069 Van Buren Blvd
Ste 114-223
Riverside, CA 92508-9169
Mailing address
19069 Van Buren Blvd Ste 114-223
Riverside, CA 92508-9169
Phone (951) 776-8421
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62690 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1962581918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19069 VAN BUREN BLVD STE 114-223",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089169",
"telephone_number": "951-776-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19069 VAN BUREN BLVD",
"address_2": "STE 114-223",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925089169",
"telephone_number": "951-776-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMERO",
"first_name": "LISA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "62690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.