Individual provider Active NPI

Maggie Ross, LCSW

  • Clinical Social Worker
  • Philadelphia, PA
National Provider Identifier
1013641018
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022593 Issued in PA
Practice address
555 S 43Rd St
Philadelphia, PA 19104-4408
Phone
(215) 685-7504
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW022593 PA Primary

Addresses

Primary practice location

555 S 43Rd St
Philadelphia, PA 19104-4408

Mailing address

927 S Farragut St Apt 2R2R2R
Philadelphia, PA 19143-3636
Phone (347) 989-6897

Other practice location 1

927 S Farragut St Apt 2R2R2R
Philadelphia, PA 19143-3636
Phone (347) 989-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220806000393 PA Practitioner - Clinical Social Worker 4981086998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of PhiladelphiaGroup PAC ID 6305758723, 86 clinicians

Practice addresses (Care Compare)

1930 S Broad St
Philadelphia, PA 19145-2328
Phone (215) 685-1810

2230 Cottman Ave
Philadelphia, PA 19149-1230
Phone (215) 685-0602

4400 Haverford Ave
Philadelphia, PA 19104-1361
Phone (215) 685-7630

555 S 43 St
Philadelphia, PA 19104-4408
Phone (215) 685-7522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
City of Philadelphia CurrentSince Jul 18, 2022 Accepting new patients
City of Philadelphia CurrentSince Jul 18, 2022 Accepting new patients

Locations

4400 Haverford Ave
#4
Philadelphia, PA 19104
Phone (215) 685-7600

555 S 43rd St
Philadelphia, PA 19104
Phone (215) 685-7500

555 S 43rd St
#3
Philadelphia, PA 19104
Phone (215) 685-7504

2230 Cottman Ave
#10
Philadelphia, PA 19149
Phone (215) 685-0602

1101 Market St
Fl 10
Philadelphia, PA 19107

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013641018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 S FARRAGUT ST APT 2R2R2R",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191433636",
            "telephone_number": "347-989-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 43RD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044408",
            "telephone_number": "215-685-7504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 S Farragut St Apt 2R2R2R",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191433636",
            "country_code": "US",
            "telephone_number": "347-989-6897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "MAGGIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.