NPIMap

Individual provider Active NPI

Patricia Joy Dell-Ross, MSW

  • Clinical Social Worker
  • Newburyport, MA
National Provider Identifier
1194806554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0104653 Issued in MA
Practice address
42 Pleasant St
Newburyport, MA 01950-2606
Phone
(978) 618-7994
Fax
(978) 462-3287
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0104653 MA Primary

Addresses

Primary practice location

42 Pleasant St
Newburyport, MA 01950-2606

Mailing address

172 Haverhill St Unit 213
Andover, MA 01810-1549
Phone (978) 618-7994

Other identifiers 8

IdentifierTypeStateIssuer
P50031OtherMABCBS INDIVIDUAL ID #
4212987OtherMAAETNA ID #
P10260OtherMABCBS MA GROUP ID #
1039062OtherMACIGNA ID #
684200OtherMABEACON HS
A021518OtherMAVALUE OPTIONS ID NUMBER
004112OtherMAVALUE OPTIONS INDIV ID #
1014950OtherMAFALLON ID #

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0104653MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation Past Accepting new patients

Organizations & group practices 1

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": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194806554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 HAVERHILL ST UNIT 213",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018101549",
            "telephone_number": "978-618-7994",
            "fax_number": "978-462-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PLEASANT ST",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502606",
            "telephone_number": "978-618-7994",
            "fax_number": "978-462-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL-ROSS",
        "first_name": "PATRICIA",
        "middle_name": "JOY",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "0104653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL ID #",
            "identifier": "P50031",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "4212987",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA GROUP ID #",
            "identifier": "P10260",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID #",
            "identifier": "1039062",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HS",
            "identifier": "684200",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS ID NUMBER",
            "identifier": "A021518",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS INDIV ID #",
            "identifier": "004112",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON ID #",
            "identifier": "1014950",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.