Individual provider Active NPI

Julie Ross, PH.D, LCSW-R

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1083031272
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
039214 Issued in NY
Practice address
680 W End Ave Ste 1E
New York, NY 10025-6815
Phone
(917) 880-1928
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 039214 NY Primary

Addresses

Primary practice location

680 W End Ave Ste 1E
New York, NY 10025-6815

Mailing address

680 W End Ave Ste 1E
New York, NY 10025-6815
Phone (917) 880-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20160211000265 NY Practitioner - Clinical Social Worker 4587968516 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

680 W End Ave
Suite 1E
New York, NY 10025-6815
Phone (917) 880-1928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
039214NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Association for Services for the Aged CurrentSince Feb 11, 2016 Accepting new patients
Jewish Association for Services for the Aged PastSince May 25, 2025 Accepting new patients

Locations

910 E 172nd St
Fl 1
Bronx, NY 10460

247 W 37th St
Fl 9
New York, NY 10018
Phone (212) 273-5200

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1083031272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 W END AVE STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256815",
            "telephone_number": "917-880-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 W END AVE STE 1E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256815",
            "telephone_number": "917-880-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PH.D, LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "039214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.