Individual provider Active NPI

Conner E Romanowsky, LCSW, LCADC

  • Clinical Social Worker
  • Wall Township, NJ
National Provider Identifier
1992350110
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05987100 Issued in NJ
Practice address
1933 State Route 35 Ste 213
Wall Township, NJ 07719-3502
Phone
(908) 692-0773
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05987100 NJ Primary
Social Worker 104100000X 44SL06392500 NJ

Addresses

Primary practice location

1933 State Route 35 Ste 213
Wall Township, NJ 07719-3502

Mailing address

1933 State Route 35 Ste 213
Wall Township, NJ 07719-3502
Phone (908) 692-0773

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
44SL06392500NJMDSocial Worker
44SC05987100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton/Corner House PastSince Aug 1, 2019 Accepting new patients

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": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1992350110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 STATE ROUTE 35 STE 213",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193502",
            "telephone_number": "908-692-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1933 STATE ROUTE 35 STE 213",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077193502",
            "telephone_number": "908-692-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMANOWSKY",
        "first_name": "CONNER",
        "middle_name": "E",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05987100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06392500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wall Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.