Healthcare Provider Details

I. General information

NPI: 1285402347
Provider Name (Legal Business Name): VICTORIA ROMERO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/18/2023
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8704 ZEPHYR PL NW
ALBUQUERQUE NM
87120-4114
US

IV. Provider business mailing address

8704 ZEPHYR PL NW
ALBUQUERQUE NM
87120-4114
US

V. Phone/Fax

Practice location:
  • Phone: 505-388-3496
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB-2025-0799
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: