IndividualActive
Jorge Roman
NPI 1003343096 · Clinical Social Worker · Crystal Lake, IL
Provider details
- NPI number
- 1003343096
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Dakota St Ste a
Crystal Lake, IL 60012-3744
Phone: (815) 334-5018
Fax: (815) 356-1104
Street-level locationGet directions
Mailing address
650 Dakota St Ste a
Crystal Lake, IL 60012-3744
Additional practice locations (1)
- 70 S River StAurora, IL 60506-5185Phone: (630) 844-2662
Registry dates
- Enumerated
- 2017-05-22
- Last updated
- 2022-04-12
- Certified
- 2022-04-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.