Provider Demographics
NPI:1902434111
Name:LINETTE K ROMERO
Entity Type:Organization
Organization Name:LINETTE K ROMERO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/LCSW
Authorized Official - Prefix:
Authorized Official - First Name:LINETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMERO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:352-497-9669
Mailing Address - Street 1:10170 SW 46TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-4068
Mailing Address - Country:US
Mailing Address - Phone:352-497-9669
Mailing Address - Fax:
Practice Address - Street 1:725 E SILVER SPRINGS BLVD STE 6
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6711
Practice Address - Country:US
Practice Address - Phone:352-497-9669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty