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

Mr. Marc Thomas Romanello, LCSW

Individual provider Clinical Social Worker · NPI 1538627872

Mr. Marc Thomas Romanello, LCSW is a Clinical Social Worker in Bayside, New York. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
8
Licensed in
NY
In the registry since
2019
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

21111 Northern Blvd
Bayside, NY 11361-3241
Phone: (212) 273-6272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21111 Northern Blvd, Bayside, NY 11361-3241 — (212) 273-6272

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 092595-01 (NY)
Social Worker Taxonomy 104100000X · Licence 105777-1 (NY)

Record details

NPI number1538627872
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 6, 2019
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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