Provider Demographics
NPI:1407857857
Name:ROMAGNOLI, MARIANNE (MS,LPC)
Entity Type:Individual
Prefix:MISS
First Name:MARIANNE
Middle Name:
Last Name:ROMAGNOLI
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 W POMFRET ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-3217
Mailing Address - Country:US
Mailing Address - Phone:717-258-0214
Mailing Address - Fax:717-258-3158
Practice Address - Street 1:47 W POMFRET ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-3217
Practice Address - Country:US
Practice Address - Phone:717-258-0214
Practice Address - Fax:717-258-3158
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA001983101YM0800X, 101YP1600X, 106H00000X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50013421OtherCAPITAL BLUE CROSS
PA810554001OtherTEAM EAP
PA810554001OtherLUMENOS
PA810554001OtherPACIFICARE
PA341561OtherHEALTHNET TRICARE
PA810554001OtherAETNA
PA810554001OtherPRIME SOURCE
PA469659OtherVALUE OPTIONS
PA810554001OtherACCORDIA NATIONAL
PA810554001OtherDEVON HLTH/BEECH ST.
PA810554001OtherCOMPSYCH
PA810554001OtherQUANTUS ADMIN.
PA01756205OtherCOMMUNITY BEH.MENTAL HLTH
PA485274000OtherMAGELLAN