Provider Demographics
NPI:1447498779
Name:ROMERO, IRMA YANIRA (LCSW)
Entity type:Individual
Prefix:MS
First Name:IRMA
Middle Name:YANIRA
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 FRANKLIN ST STE 404
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3223
Mailing Address - Country:US
Mailing Address - Phone:510-451-3600
Mailing Address - Fax:510-451-3700
Practice Address - Street 1:1305 FRANKLIN ST STE 404
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3223
Practice Address - Country:US
Practice Address - Phone:151-045-1360
Practice Address - Fax:510-451-3700
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA245251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical