Individual
MATTHEW J. ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
223 PROSSER TRL, CHARLESTOWN, RI 02813-2840
(401) 331-1350
(401) 277-3366
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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