Active NPI
Hunter Ross, LCSW
- Clinical Social Worker
- Charlotte, NC
National Provider Identifier
1205791928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C018396
- Practice address
- 1914 J N Pease PL
Charlotte, NC 28262-4504 - Phone
- (704) 754-8718
- NPI assigned
- Dec 16, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C018396 | NC | Primary |
Addresses
Primary practice location
1914 J N Pease PL
Charlotte, NC 28262-4504
Mailing address
1914 J N Pease PL
Charlotte, NC 28262-4504
Phone (704) 754-8718
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1914 J N Pease PL
Charlotte, NC 28262-4504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C018396 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Mentality PLLC | Current | Accepting new patients |
Locations
1914 J N Pease Pl
Charlotte, NC 28262
Phone (704) 754-8718
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Charlotte, NC
- NPI 1215617709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1205791928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 J N PEASE PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624504",
"telephone_number": "704-754-8718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1914 J N PEASE PL",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282624504",
"telephone_number": "704-754-8718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "HUNTER",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C018396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.