Provider Demographics
NPI:1194379826
Name:ROMERO, HENRY OSCAR (MSW)
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:OSCAR
Last Name:ROMERO
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 COLUMBIA ST APT 12A
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10002-1943
Mailing Address - Country:US
Mailing Address - Phone:646-241-5669
Mailing Address - Fax:
Practice Address - Street 1:130 COLUMBIA ST APT 12A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10002-1943
Practice Address - Country:US
Practice Address - Phone:646-241-5669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-31
Last Update Date:2019-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty