Individual provider Active NPI

Kalisha Crone-Ross, LCSW

  • Clinical Social Worker
  • Orange, CA
National Provider Identifier
1235769803
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
93492 Issued in CA
Practice address
1100 Town and Country Rd
Orange, CA 92868
Phone
(562) 582-8892
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 93492 CA Primary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 107642 TX

Addresses

Primary practice location

1100 Town and Country Rd
Orange, CA 92868

Mailing address

5318 E 2ND St # 1041
Long Beach, CA 90803-5324
Phone (562) 582-8892

Other names 1

  • Kalisha Crone Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL therapy@gracefulchange.org Direct
Direct Messaging Address therapy@gracefulchange.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250606002196 CA Practitioner - Clinical Social Worker 9537679717 Practice locations: Oxnard, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107642TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Graceful Change Counseling Services Clinical CurrentSince Mar 22, 2025 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": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1235769803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 E 2ND ST # 1041",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908035324",
            "telephone_number": "562-582-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TOWN AND COUNTRY RD",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92868",
            "telephone_number": "562-582-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRONE-ROSS",
        "first_name": "KALISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "93492",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "107642",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapy@gracefulchange.org",
            "affiliation": "N",
            "endpointDescription": "Graceful Change Counseling Center private email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5318 E 2nd St # 1041",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908035324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@gracefulchange.org",
            "affiliation": "N",
            "endpointDescription": "HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5318 E 2nd St # 1041",
            "city": "Long Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "908035324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KALISHA",
            "last_name": "CRONE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.