Provider Demographics
NPI:1336297951
Name:ROMANOSKI, MARGARET J (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:J
Last Name:ROMANOSKI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PEGGY
Other - Middle Name:
Other - Last Name:ROMANOSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:2980 SUNRIDGE HEIGHTS PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4465
Mailing Address - Country:US
Mailing Address - Phone:702-792-9939
Mailing Address - Fax:702-792-1160
Practice Address - Street 1:2980 SUNRIDGE HEIGHTS PKWY STE 120
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-4465
Practice Address - Country:US
Practice Address - Phone:702-792-9939
Practice Address - Fax:702-792-1160
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV131-L101YA0400X
NV2331-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV158140OtherVALUE OPTIONS PIN
NV31534Medicare ID - Type Unspecified