Healthcare Provider Details

I. General information

NPI: 1073380531
Provider Name (Legal Business Name): KARAGAN ROMOSER LCSW, MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2023
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MILEPOST 29, HIGHWAY 169
ALAMO NM
87825
US

IV. Provider business mailing address

MILE POST 29, HIGHWAY 169
ALAMO NM
87825
US

V. Phone/Fax

Practice location:
  • Phone: 575-854-2626
  • Fax: 575-854-2528
Mailing address:
  • Phone: 575-854-2626
  • Fax: 575-854-2528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number149.026455
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWB-2024-0888
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: