Provider Demographics
NPI:1972326643
Name:ROMERO, LINO (LCPC)
Entity type:Individual
Prefix:MR
First Name:LINO
Middle Name:
Last Name:ROMERO
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19111 WILLOW SPRING DR
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5377
Mailing Address - Country:US
Mailing Address - Phone:240-426-8230
Mailing Address - Fax:
Practice Address - Street 1:19111 WILLOW SPRING DR
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5377
Practice Address - Country:US
Practice Address - Phone:240-426-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-01
Last Update Date:2024-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8786101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional