Individual provider Active NPI

Roneasha Ross

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1023899382
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9696-M Issued in NV
Practice address
3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130
Phone
(702) 778-5300
Fax
(702) 778-5301
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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 9696-M NV Primary

Addresses

Primary practice location

3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130

Mailing address

3606 N Rancho Dr Ste 142
Las Vegas, NV 89130-3130
Phone (702) 778-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9696-MNVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearwaters Family Guidance and Wellness Centers LLC CurrentSince Apr 16, 2025 Accepting new patients
Clearwaters Family Guidance and Wellness Centers,LLC PastSince Oct 15, 2023 Accepting new patients

Locations

3606 N Rancho Dr
Ste 142
Las Vegas, NV 89130
Phone (702) 278-0984

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": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1023899382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 N RANCHO DR STE 142",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303130",
            "telephone_number": "702-778-5300",
            "fax_number": "702-778-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RONEASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "9696-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.