Provider Demographics
NPI:1841504677
Name:ROMERO, MARIA DOLORES (LMSW)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:DOLORES
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 NORTH STATION PLAZA
Mailing Address - Street 2:COPAY INC
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-466-2509
Mailing Address - Fax:516-482-3146
Practice Address - Street 1:21 NORTH STATION PLAZA
Practice Address - Street 2:COPAY INC
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-466-2509
Practice Address - Fax:516-482-3146
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043255104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker