Healthcare Provider Details

I. General information

NPI: 1932023736
Provider Name (Legal Business Name): MRS. PATRICIA ROMIG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 E 3RD ST # 1042
WILLIAMSPORT PA
17701-3901
US

IV. Provider business mailing address

1915 E 3RD ST # 1042
WILLIAMSPORT PA
17701-3901
US

V. Phone/Fax

Practice location:
  • Phone: 570-490-1316
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW027778
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: