Jesse Roman, LSW is a
Social Worker - Clinical based in Ashland, Pennsylvania. Jesse Roman is licensed to practice in Pennsylvania (license number SW126588) and his current practice location is
930 Centre St, Ashland, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(570) 205-2066.
NPI number for Jesse Roman is 1013290295 and his current mailing address is 930 Centre St, Ashland, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013290295.
Healthcare Provider's Profile
Full Name | Jesse Roman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 930 Centre St, Ashland, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013290295
- Provider Enumeration Date: 09/23/2011
- Last Update Date: 07/21/2015
Medical Identifiers
Medical identifiers for Jesse Roman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013290295 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW126588 (Pennsylvania) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jesse Roman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jesse Roman, LSW 930 Centre St, Ashland, PA 17921-1244 Ph: (610) 205-2066 | Jesse Roman, LSW 930 Centre St, Ashland, PA 17921-1244 Ph: (570) 205-2066 |
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