Active NPI
Brigitte Ann Ross- Gwin, LCSW
- Clinical Social Worker
- Romeoville, IL
National Provider Identifier
1265605893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149-012943
- Practice address
- 13252 Santa Fe Rd
Apt. 102
Romeoville, IL 60446 - Phone
- (815) 293-6065
- Fax
- (815) 293-6065
- NPI assigned
- Apr 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 149-012943 | IL | Primary |
Addresses
Primary practice location
13252 Santa Fe Rd
Apt. 102
Romeoville, IL 60446
Mailing address
C/O 4540 Hunt Club Dr
Apt. 1-D
Ypsilanti, MI 48197
Phone (630) 886-0732
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 |
|---|---|---|---|
| 149-012943 | IL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Home Psych Services, P.C. | 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.
-
- Clinical Psychologist
- Hinsdale, IL
- NPI 1174821946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1265605893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "C/O 4540 HUNT CLUB DR",
"address_2": "APT. 1-D",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "48197",
"telephone_number": "630-886-0732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13252 SANTA FE RD",
"address_2": "APT. 102",
"city": "ROMEOVILLE",
"state": "IL",
"postal_code": "60446",
"telephone_number": "815-293-6065",
"fax_number": "815-293-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS- GWIN",
"first_name": "BRIGITTE",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-04-03",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149-012943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.