MR. OCTAVIO ROMAN LCSW-R
NPI 1215055512
Social Worker - Clinical in Brooklyn, NY

Q: What is Octavio Roman's NPI number?

The NPI number for Octavio Roman is 1215055512. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Q: What is Octavio Roman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Octavio Roman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 26, 2007PECOS EnrolledAccepts Medicare Assignment

333 ATLANTIC AVE, BROOKLYN, NY 11201(718) 522-6011(718) 522-1560 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Octavio Roman Lcsw-r NPPES

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

MR. OCTAVIO ROMAN LCSW-R (NPI 1215055512) is an individual clinical provider in Brooklyn, New York, licensed in New York (R028922) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1215055512

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMR. OCTAVIO ROMANCredential: LCSW-R

Location Address333 ATLANTIC AVEBrooklyn, NY 11201-5803

Mailing Address217 Aspen Knolls WayStaten Island, NY 10312-6632 · (718) 967-2317 · Fax (718) 522-1560

Phone(718) 522-6011

Fax(718) 522-1560

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateMarch 26, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1215055512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in NY · R028922

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.

333 ATLANTIC AVE, Brooklyn, NY 11201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Octavio Roman Lcsw-r is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072781814

PECOS Enrollment IDI20110721000124

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $67.40 – $203.53

Typical copayment $0.00 (range $16.85 – $50.88)

Most-billed visit code NA

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

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

GEORGE L DOCKERY LSCW-R

Social Worker (Clinical)