Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lucielle Miriam Roman, LCSW

Individual provider Clinical Social Worker · NPI 1649930363

Lucielle Miriam Roman, LCSW is a Clinical Social Worker in Bronx, New York. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2021
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2527 Glebe Ave
Bronx, NY 10461-3109
Phone: (718) 904-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 100574 (NY)
Social Worker Taxonomy 104100000X · Licence 114337 (NY)

Record details

NPI number1649930363
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 21, 2021
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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