Organization Active NPI

Sallie M. Ross, LCSW, PLC

  • Clinical Social Worker
  • Charlottesville, VA
National Provider Identifier
1275937591
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SALLIE M. ROSS, LCSW, PLC
Practice address
302 Hickman Rd Ste 201
Charlottesville, VA 22911-3572
Phone
(434) 962-3027
Fax
(434) 962-3027
NPI assigned
Oct 15, 2014
Last updated
Nov 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Sallie RossNPI 1992913677
Title
LCSW
Phone
(434) 962-3027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

302 Hickman Rd Ste 201
Charlottesville, VA 22911-3572

Mailing address

1921 Via Florence Rd
Charlottesville, VA 22911-3557
Phone (434) 962-3027

Other identifiers 1

IdentifierTypeStateIssuer
1992913677OtherNPPES (INDIVIDUAL NPI)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141211000832 VA Part B Supplier - Clinic/Group Practice 7911229455 Receives reassigned benefits from 1 practitioner
Practice locations: Charlottesville, VA

National Provider Directory

National Provider Directory

Locations

302 Hickman Rd
Ste 201
Charlottesville, VA 22911
Phone (434) 218-2682

423 8th St NE
Charlottesvle, VA 22902
Phone (434) 325-5239

675 Peter Jefferson Pkwy
Ste 130
Charlottesvle, VA 22911
Phone (434) 202-8242

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1275937591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 VIA FLORENCE RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113557",
            "telephone_number": "434-962-3027",
            "fax_number": "434-282-2135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HICKMAN RD STE 201",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113572",
            "telephone_number": "434-962-3027",
            "fax_number": "434-962-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALLIE M. ROSS, LCSW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "SALLIE",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "434-962-3027"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES (INDIVIDUAL NPI)",
            "identifier": "1992913677",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.