Individual
MATTHEW J. ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ISW01349
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30315-8
BLUE CROSS/SHIELD
RI
01
—
408143
BLUE CHIP
RI
01
—
478002
VALUE OPTIONS
—
05
—
MR33981
—
RI
01
—
NHP
1021740 GROUP
—
01
—
UBH
6232362
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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