Provider Demographics
NPI:1356330120
Name:MAHLER-ROMEO, ANGELA D (LMSW CSW)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:D
Last Name:MAHLER-ROMEO
Suffix:
Gender:F
Credentials:LMSW CSW
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:D
Other - Last Name:MAHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 N OCEANSIDE RD
Mailing Address - Street 2:ANGELA D MAHLER ROMEO
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-5122
Mailing Address - Country:US
Mailing Address - Phone:516-678-6641
Mailing Address - Fax:
Practice Address - Street 1:2277 GRAND AVE
Practice Address - Street 2:SOUTH NASSAU COMMUNITIES HOSPITAL MENTAL HEALTH COUNSEL
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-3148
Practice Address - Country:US
Practice Address - Phone:516-546-1370
Practice Address - Fax:516-546-1028
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0614681104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker