Active NPI
Sally Ross, LCSW
- Clinical Social Worker
- Bethlehem, PA
National Provider Identifier
1245273689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW013019
- Practice address
- 2710 Schoenersville Rd
Bethlehem, PA 18017-3574 - Phone
- (610) 297-7500
- Fax
- (610) 297-7533
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- 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 | CW013019 | PA | Primary |
Addresses
Primary practice location
2710 Schoenersville Rd
Bethlehem, PA 18017-3574
Mailing address
1605 N Cedar Crest Blvd Ste 411
Allentown, PA 18104-2323
Phone (610) 969-1914
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
| License | State | Type | Specialty |
|---|---|---|---|
| CW013019 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Vitae, Inc. | 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.
-
- Community/Behavioral Health Agency
- Quakertown, PA
- NPI 1609923622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590105600000",
"number": "1245273689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1605 N CEDAR CREST BLVD STE 411",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181042323",
"telephone_number": "610-969-1914",
"fax_number": "610-969-3951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2710 SCHOENERSVILLE RD",
"city": "BETHLEHEM",
"state": "PA",
"postal_code": "180173574",
"telephone_number": "610-297-7500",
"fax_number": "610-297-7533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SALLY",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2020-05-22",
"certification_date": "2020-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW013019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethlehem, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.