Provider Demographics
NPI:1871888461
Name:ROMANO, ERIN (LCSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:ROMANO
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 1:1202 BERGEN PKWY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-9588
Mailing Address - Country:US
Mailing Address - Phone:720-577-5671
Mailing Address - Fax:
Practice Address - Street 1:1202 BERGEN PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9588
Practice Address - Country:US
Practice Address - Phone:720-577-5671
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-13
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO099233761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical