Individual provider · Type 1 NPI

Jorge Roman

Clinical Social Worker · Crystal Lake, IL

NPI number 1003343096 Active

Practice location

650 Dakota St Ste A
Crystal Lake, IL 60012-3744

Call (815) 334-5018 Map

Fax (815) 356-1104

Other practice locations

  • 70 S River St, Aurora, IL 60506-5185 · (630) 844-2662

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker Primary 1041C0700X149023741 (IL)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1003343096

Jorge Roman's National Provider Identifier is 1003343096, issued on May 22, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Crystal Lake, IL. The record was last updated on Apr 12, 2022.