1336297951 NPI number — MRS. MARGARET J ROMANOSKI LCSW

Table of content: MRS. MARGARET J ROMANOSKI LCSW (NPI 1336297951)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336297951 NPI number — MRS. MARGARET J ROMANOSKI LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROMANOSKI
Provider First Name:
MARGARET
Provider Middle Name:
J
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROMANOSKI
Provider Other First Name:
PEGGY
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1336297951
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2980 SUNRIDGE HEIGHTS PKWY STE 120
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89052-4465
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-792-9939
Provider Business Mailing Address Fax Number:
702-792-1160

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2980 SUNRIDGE HEIGHTS PKWY STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89052-4465
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-792-9939
Provider Business Practice Location Address Fax Number:
702-792-1160
Provider Enumeration Date:
01/08/2007

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: 101YA0400X , with the licence number:  131-L , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 1041C0700X , with the licence number: 2331-C , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 158140 . This is a "VALUE OPTIONS PIN" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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