Provider Demographics
NPI:1235537663
Name:ROMANO, DAYNE (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAYNE
Middle Name:
Last Name:ROMANO
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:DAYNE
Other - Middle Name:
Other - Last Name:ROMANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:260 AMITY RD
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:CT
Mailing Address - Zip Code:06525-2222
Mailing Address - Country:US
Mailing Address - Phone:475-777-9303
Mailing Address - Fax:
Practice Address - Street 1:260 AMITY RD
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:CT
Practice Address - Zip Code:06525-2222
Practice Address - Country:US
Practice Address - Phone:475-439-9639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT94211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008064720Medicaid