1073380531 NPI number — KARAGAN ROMOSER LCSW, MSW

Table of content: KARAGAN ROMOSER LCSW, MSW (NPI 1073380531)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073380531 NPI number — KARAGAN ROMOSER LCSW, MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMOSER
Provider First Name:
KARAGAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW, MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073380531
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
MILE POST 29, HIGHWAY 169
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALAMO
Provider Business Mailing Address State Name:
NM
Provider Business Mailing Address Postal Code:
87825
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
575-854-2626
Provider Business Mailing Address Fax Number:
575-854-2528

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MILEPOST 29, HIGHWAY 169
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALAMO
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
87825
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
575-854-2626
Provider Business Practice Location Address Fax Number:
575-854-2528
Provider Enumeration Date:
12/05/2023

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 149.026455 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: SWB-2024-0888 , registered in the state of NM ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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