Jesse Roman, LSW in Ashland, PA - Social Worker

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.

Contact Information

	Jesse Roman, LSW
	930 Centre St, Ashland, PA 17921-1244
	(570) 205-2066
	Not Available

Healthcare Provider's Profile

Full Name	Jesse Roman
Gender	Male
Speciality	Social Worker - Clinical
Location	930 Centre St, Ashland, Pennsylvania
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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Jesse Roman, LSW - Clinical Social Worker in Ashland, PA