Mr John Anthony Roman Ii, LISW-CP | |
917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 | |
(843) 582-7887 | |
(843) 800-0061 |
Full Name | Mr John Anthony Roman Ii |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 917 Broadway St Ste 3, Myrtle Beach, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073924114 | NPI | - | NPPES |
SW1276 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 11070 (South Carolina) | Primary |
Entity Name | Roman Clinical Consulting Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295190734 PECOS PAC ID: 9032410501 Enrollment ID: O20151229001466 |
Mailing Address | Practice Location Address |
---|---|
Mr John Anthony Roman Ii, LISW-CP 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 Ph: (843) 582-7887 | Mr John Anthony Roman Ii, LISW-CP 917 Broadway St Ste 3, Myrtle Beach, SC 29577-3718 Ph: (843) 582-7887 |
Marcy Ann Cates, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 Johnson Ave Ste 204, Myrtle Beach, SC 29577 Phone: 843-477-0177 | |
Mr. Phillip Fleckenstein, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6215 Highway 707, Myrtle Beach, SC 29588 Phone: 843-273-0077 Fax: 843-273-0075 | |
Mr. Kenneth Thomas Cappuccio, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2195 Haystack Way, Myrtle Beach, SC 29579 Phone: 908-447-2913 | |
Ms. Tracy L. Freeman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5020 Vinesia Dr, Myrtle Beach, SC 29579 Phone: 860-620-7197 | |
Lynn Ann Repasky, MSSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1101 Johnson Ave # 134d, Myrtle Beach, SC 29577 Phone: 843-232-2435 | |
David Thomas Lane, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1101 Johnson Ave, Myrtle Beach, SC 29577 Phone: 843-457-2122 |