Jorge Roman

Clinical Social Worker · Crystal Lake, IL

Individual Active NPI

NPI number 1003343096

Practice location

650 Dakota St Ste a
Crystal Lake, IL 60012-3744
Phone
(815) 334-5018
Fax
(815) 356-1104

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NPI record

NPI
1003343096
Entity type
Individual (Type 1)
Enumeration date
May 22, 2017
Last updated
April 12, 2022
Certified
April 12, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Social Worker Primary 1041C0700X 149023741 IL
Mental Health Counselor 101YM0800X — —

Other practice locations (1)

  • 70 S River St, Aurora, IL 60506-5185 · (630) 844-2662

About Jorge Roman

Jorge Roman is a healthcare provider registered in the NPI registry with the primary taxonomy Clinical Social Worker (code 1041C0700X). The practice location is 650 Dakota St Ste a, Crystal Lake, IL 60012-3744. The NPI number 1003343096 was assigned on May 22, 2017 and the record was last updated on April 12, 2022.

Jorge Roman lists a license in the registry: #149023741 (IL) for Clinical Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jorge Roman?

The NPI number is 1003343096.

What is the phone number of Jorge Roman?

The phone number listed for the practice location is (815) 334-5018.

Where is Jorge Roman located?

650 Dakota St Ste a, Crystal Lake, IL 60012-3744.

What is the taxonomy code for Jorge Roman?

The primary taxonomy code is 1041C0700X – Clinical Social Worker; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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