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NPI Code Detail

MEDICARE: KARL D ROMAN LMSW, LSW,LCSW

MEDICARE: KARL D ROMAN LMSW, LSW,LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker107834TX
21041C0700XClinical Social Worker44SC05978700NJ
3101YA0400XAddiction (Substance Use Disorder) Counselor
4104100000XSocial Worker098850NY
5104100000XSocial Worker44SC05978700NJ
61041C0700XClinical Social WorkerSW23323FL
71041C0700XClinical Social Worker090668NY

General Provider Information

NPI Number : 1528517372
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARL D ROMAN LMSW, LSW,LCSW
Provider Business Mailing Address
First Line : PO BOX 493
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-0493
Country : US
Telephone Number : 973-858-8163
Fax Number :
Provider Business Practice Location Address
First Line : 400 RAMAPO AVE
Second Line :
City : POMPTON LAKES
State : NJ
Zip : 07442-1825
Country : US
Telephone Number : 973-858-8163
Fax Number : 862-666-1074
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2016
Last Update Date : 03/19/2025

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