MARIANNE COSTALES-ROMAN (NPI# 1710441555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710441555 |
| Entity Type | Individual |
| Full Name | MARIANNE COSTALES-ROMAN |
| Credential | LCSW |
| Practice Address |
451 Dunham Rd Ste 400 Saint Charles IL 60174-1431 |
| Practice Telephone | 6303001502 |
| Practice Fax Number | 6307979389 |
| Mailing Telephone | 6303001502 |
| Mailing Fax Number | 6307979389 |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149012137 | IL | Behavioral Health & Social Service Providers |
| Street Address |
451 DUNHAM RD STE 400 |
| City | SAINT CHARLES |
| State | IL |
| Zip Code | 60174-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265904023 | From The Heart Counseling, Inc. | Counselor | 451 Dunham Rd Ste 400, Saint Charles, IL 60174-1431 | 2018-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306474192 | Halinas Residential Home Care | Registered Nurse | 825 North Fifth Avenue, St. Charles, IL 60174 | 2020-03-29 |
| 1205354503 | Connor Lavallie | Chiropractor | 240 W River Dr, St Charles, IL 60174 | 2017-09-07 |
| 1427579952 | Melanie Elizabeth Long | Counselor | 5n147 Oak Leaf Ct, St Charles, IL 60174 | 2017-07-06 |
| 1255860656 | Hannah Elizabeth Gambrel | Counselor | 12 South 7th Avenue, St. Charles, IL 60174 | 2017-06-08 |
| 1275981490 | Anju Patel | Pharmacist | 2038 Praire St, St. Charles, IL 60174 | 2016-05-27 |
| 1316328529 | Allison Jensen | Dentist | 11 S. 2nd Ave #11, St. Charles, IL 60174 | 2015-06-12 |
| 1225466576 | Chelsea Wright | Social Worker | 522 W Main St Unit 2d, St Charles, IL 60174 | 2013-10-24 |
| 1114261427 | Bryan R. Cichon Dds PC | Dentist | 700 S. Randall Rd., Suite #1, St. Charles, IL 60174 | 2012-11-27 |
| 1124372289 | Stacey Lynn Conner | Developmental Therapist | 910 Manley Rd, St. Charles, IL 60174 | 2012-10-28 |
| 1093070567 | St. Charles Service Corporation | Physical Therapist | 1615 W. Main Street, St. Charles, IL 60174 | 2012-07-10 |
| Find all providers in zip 60174 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221368 | Deborah L Tannenbaum, Lcsw, LLC | Social Worker | 3000 Arrow Rock Dr, Saint Charles, MO 63303-6502 | 2020-10-01 |
| 1457837056 | Leslie Louise Schaeffer | Social Worker | 625 Saint Jovite St, Saint Charles, MO 63304-7933 | 2018-07-17 |
| 1477044865 | Doyne Baker | Social Worker | 1109 Chargene St, Saint Charles, MO 63301-2504 | 2018-05-22 |
| 1821519471 | Natalie Pacini | Social Worker | 210 S 5th St Ste 103, Saint Charles, IL 60174-2700 | 2017-07-05 |
| 1376921064 | Stephanie Taksel | Social Worker | 601 S Benton Ave, Saint Charles, MO 63301-2966 | 2015-05-13 |
| 1750773594 | Cari Mcknight | Social Worker | 4384 Westhampton Place Ct, Saint Charles, MO 63304-8028 | 2015-03-03 |
| 1164829503 | Cherie Magueja | Social Worker | 4332 Westhampton Place Cir, Saint Charles, MO 63304-7998 | 2014-12-01 |
| 1386048965 | Jerry Ciffone | Social Worker | 406 S 9th St, Saint Charles, IL 60174-2612 | 2014-10-10 |
| 1174937098 | Genevieve Rose Hebeka | Social Worker | 320 Beatrice Ave, Saint Charles, IL 60174-4344 | 2014-06-18 |
| 1780012195 | Leslie Wareheim | Social Worker | 219 N 5th St, Suite 100, Saint Charles, MO 63301-1851 | 2013-10-22 |
| Find all providers in SAINT CHARLES | ||||
| City | SAINT CHARLES |
| Zip Code | 60174 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.