Provider Demographics
NPI:1629744172
Name:ROMERO-BADILLO, SOLANGEL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:SOLANGEL
Middle Name:
Last Name:ROMERO-BADILLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 LENMAR DR APT N303
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-6328
Mailing Address - Country:US
Mailing Address - Phone:201-270-6290
Mailing Address - Fax:
Practice Address - Street 1:4360 MONTEBELLO DR STE 400
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7224
Practice Address - Country:US
Practice Address - Phone:201-270-6290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.0009923606104100000X
COCSW.099296441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty