Individual provider Active NPI

Stephany Romero

  • Clinical Social Worker
  • Lynwood, CA
National Provider Identifier
1962806455
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
102029 Issued in CA
Practice address
2707 110TH St
Lynwood, CA 90262-1711
Phone
(213) 330-5527
NPI assigned
Oct 13, 2014
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 884139 CA
Clinical Social Worker 1041C0700X 102029 CA Primary

Addresses

Primary practice location

2707 110TH St
Lynwood, CA 90262-1711

Mailing address

2707 110TH St
Lynwood, CA 90262-1711
Phone (213) 330-5527

Other practice location 1

11303 W Washington Blvd Ste 200
Los Angeles, CA 90066-6003
Phone (310) 482-3200

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
884139CAMDMental Health Counselor
102029CAMDInterpreter

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1962806455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 110TH ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902621711",
            "telephone_number": "213-330-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 110TH ST",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902621711",
            "telephone_number": "213-330-5527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11303 W Washington Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900666003",
            "country_code": "US",
            "telephone_number": "310-482-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "STEPHANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-13",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "884139",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "102029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.