Thalia Ross, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

30812 Issued in TX

Practice address

1912 Central Dr
Suite a
Bedford, TX 76021-5894

Phone

(817) 718-8576

Fax

(817) 451-1763

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1104049055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 CENTRAL DR",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215894",
            "telephone_number": "817-718-8576",
            "fax_number": "817-451-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 CENTRAL DR",
            "address_2": "SUITE A",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760215894",
            "telephone_number": "817-718-8576",
            "fax_number": "817-451-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "THALIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "30812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB131437",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184916803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin T Rooker, RDMS, RVT
• Root Canal Clinic of North Texas
• Luz Melanie Rosario
• James Rose, AGCNS-BC
• Roshealth Primarycare PC
• Mary H Rosson, RN
• Cynthia Lenore Rothman, P.A.
• Bob Rowland, MD
• Ruh Gajera PLLC
• Yannina Ruiz Rosa, DC

• Clinical Social Worker in Bedford, TX
• Providers in Bedford, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.