Provider Demographics
NPI:1083179345
Name:ROMERO, ERICA MARIE (LSW)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:MARIE
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DAYTON LN
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-2804
Mailing Address - Country:US
Mailing Address - Phone:908-461-1586
Mailing Address - Fax:
Practice Address - Street 1:17 DAYTON LN
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-2804
Practice Address - Country:US
Practice Address - Phone:908-461-1586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL060555001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical