Healthcare Provider Details

I. General information

NPI: 1942104419
Provider Name (Legal Business Name): SILVIA ROMERO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12730 HEACOCK ST STE 2
MORENO VALLEY CA
92553-3040
US

IV. Provider business mailing address

26223 FILLY LN
MORENO VALLEY CA
92555-3355
US

V. Phone/Fax

Practice location:
  • Phone: 760-620-5554
  • Fax:
Mailing address:
  • Phone: 951-488-2917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number143065
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: