JORGE ROMAN
NPI 1003343096
Social Worker - Clinical in Crystal Lake, IL

Active since May 22, 2017
650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012(815) 334-5018(815) 356-1104 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 12, 2022, May 22, 2017 (2 updates tracked since 2017).

About Jorge Roman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE ROMAN (NPI 1003343096) is an individual clinical provider in Crystal Lake, Illinois, licensed in Illinois (149023741) and active in the NPI registry since May 2017. He maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1003343096
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJORGE ROMAN
Location Address650 DAKOTA ST STE ACrystal Lake, IL 60012-3744
Mailing Address650 Dakota St Ste ACrystal Lake, IL 60012-3744 · (815) 334-5018 · Fax (815) 356-1104
Fax(815) 356-1104
Sole ProprietorYes
Enumeration DateMay 22, 2017
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1003343096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149023741
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
650 DAKOTA ST STE A, Crystal Lake, IL 60012

Secondary Practice Location 1

Location 170 S River StAurora, IL 60506-5185 · Phone (630) 844-2662

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Psychologist (Clinical)
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Internal Medicine
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Nurse Practitioner (Family)
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Internal Medicine
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Internal Medicine
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Counselor (Mental Health)
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012
Internal Medicine
650 DAKOTA ST STE A
CRYSTAL LAKE, IL 60012

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Roman's NPI number?

The NPI number for Jorge Roman is 1003343096. It was assigned to this individual provider in the NPPES registry on May 22, 2017.

Where is Jorge Roman located?

Jorge Roman practices at 650 Dakota St Ste A, Crystal Lake, IL 60012. The listed phone number is (815) 334-5018.

What is Jorge Roman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Jorge Roman was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.