Haley Shae Ross, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

254621 Issued in KY

Practice address

20 West 18TH Street
Covington, KY 41011-3329

Phone

(859) 757-0717

Fax

(859) 331-2425

NPI assigned

Jul 31, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Haley Shae Maynard Former name

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

University of Kentucky College of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Summit Medical Group IncGroup PAC ID 2163326240, 803 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Summit Medical Group, Inc

  dba St. Elizabeth Physicians

  • Family Medicine Physician
  • Erlanger, KY
  • NPI 1750343216

  Social Worker

  Medicare reassignment Care Compare group NPD
• Summit Medical Group, Inc

  dba St. Elizabeth Physicians Behavioral Health

  • Psychiatry Physician
  • Erlanger, KY
  • NPI 1508287640

  Social Worker

  NPD
• Summit Medical Group, Inc.

  dba St. Elizabeth Physicians

  • Foot & Ankle Surgery Podiatrist
  • Crestview Hills, KY
  • NPI 1043188378
  NPD

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1033633219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-757-0717",
            "fax_number": "859-331-2425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 WEST 18TH STREET",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113329",
            "telephone_number": "859-757-0717",
            "fax_number": "859-331-2425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 High St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221235",
            "country_code": "US",
            "telephone_number": "859-236-2726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "151 Coconut Grove Dr",
            "address_purpose": "LOCATION",
            "city": "Nicholasville",
            "state": "KY",
            "postal_code": "403562321",
            "country_code": "US",
            "telephone_number": "606-305-5411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Darby Creek Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091605",
            "country_code": "US",
            "telephone_number": "859-338-0466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HALEY",
        "middle_name": "SHAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "252654",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254621",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KY",
            "license": "254621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HALEY",
            "last_name": "MAYNARD",
            "middle_name": "SHAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Roland, LCSW
• Megan Rolf, CSW
• Dana L Romes, PT
• Terry Lee Rook Jr., LCDC III, LCADC
• James J Rosenthal, PSY.D.
• Kaylin Maurice Ross
• Tasha N Ross, LCSW
• RSVP Equipment of Greater Cincinnati, LLC (Pediatric Home Service)
• RSVP Equipment of Greater Cincinnati, LLC (Pediatric Home Service)
• Kathleen Ann Rudnick, R.N.

• Social Worker in Covington, KY
• Providers in Covington, KY by specialty
• Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.