Doctor Name: | NICOLE ROMANS |
NPI Number: | 1003150988 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW13105 |
Business Practice Address: | 1680 Se Lyngate Dr Suite 201 Port St Lucie, FL - 349524300 |
Business Phone Number: | 7723359808 |
Business Fax Number: | |
Mailing Address: | 1680 Se Lyngate Dr, Suite 201 PORT ST LUCIE |
State: | FL |
Postal Code: | 349524300 |
Phone Number: | 7723359808 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2012 |
NPI Last Update Date: | 10/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | SW13105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |