Healthcare Provider Details

I. General information

NPI: 1982568937
Provider Name (Legal Business Name): COURTNEY ALLISON ROMANS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 UPPER MONTCLAIR PLZ
MONTCLAIR NJ
07043-1343
US

IV. Provider business mailing address

40 BROOKSIDE AVE APT 4A
SOMERVILLE NJ
08876-5610
US

V. Phone/Fax

Practice location:
  • Phone: 862-829-3038
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120752
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06886900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: