Provider Demographics
NPI:1578256863
Name:ROMANO, DANA (LSW, LCADC)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:ROMANO
Suffix:
Gender:F
Credentials:LSW, LCADC
Other - Prefix:
Other - First Name:DANA
Other - Middle Name:
Other - Last Name:ROMANO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LSW, LCADC
Mailing Address - Street 1:69 E ALLENDALE RD STE 1-1
Mailing Address - Street 2:
Mailing Address - City:SADDLE RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07458-3022
Mailing Address - Country:US
Mailing Address - Phone:845-548-8781
Mailing Address - Fax:
Practice Address - Street 1:69 E ALLENDALE RD STE 1-1
Practice Address - Street 2:
Practice Address - City:SADDLE RIVER
Practice Address - State:NJ
Practice Address - Zip Code:07458-3022
Practice Address - Country:US
Practice Address - Phone:845-548-8781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-01
Last Update Date:2023-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00149000104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker