Provider Demographics
NPI:1528758133
Name:ROMAN, PEARL A (LMSW)
Entity type:Individual
Prefix:MRS
First Name:PEARL
Middle Name:A
Last Name:ROMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2611 WEISMAN RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-2048
Mailing Address - Country:US
Mailing Address - Phone:202-469-1083
Mailing Address - Fax:
Practice Address - Street 1:2611 WEISMAN RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2048
Practice Address - Country:US
Practice Address - Phone:202-469-1083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29759104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker