SAMANTHA ASHLEY ROMAN MSW
NPI 1659965432
Counselor in Worcester, MA

Q: What is Samantha Roman's NPI number?

The NPI number for Samantha Roman is 1659965432. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Q: What is Samantha Roman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Roman was last updated on February 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 23, 2021PECOS Enrolled

411 CHANDLER ST, WORCESTER, MA 01602(508) 799-0688 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Ashley Roman Msw NPPES

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

SAMANTHA ASHLEY ROMAN MSW (NPI 1659965432) is an individual counselor in Worcester, Massachusetts and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659965432

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameSAMANTHA ASHLEY ROMANCredential: MSW

Location Address411 CHANDLER STWorcester, MA 01602-3339

Mailing Address14 Tobin DrDudley, MA 01571-6165 · (774) 701-1926

Phone(508) 799-0688

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateFebruary 23, 2021

NPPES CertifiedFebruary 23, 2021

✔ NPI 1659965432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

411 CHANDLER ST, Worcester, MA 01602

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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 (PECOS)

Samantha Ashley Roman Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456820257

PECOS Enrollment IDI20260520003369

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.

Other Providers at the Same Location NPPES 20

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

ARIELLA EMMANUEL

Counselor (Mental Health)