Matthew Marks Ross, MSW, LCSWA
Individual provider Active NPI Clinical Social Worker · Durham, NC
NPI 1295575512 · NPPES record last updated Jul 13, 2025
Key facts
- NPI
- 1295575512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- P020270 (NC)
- Practice address
- 3710 University Dr Ste 100
Durham, NC 27707-6208 - Phone
- (919) 906-4390
- NPI assigned
- May 27, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P020270 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abhaya PLLC | Past |
Accepting new patients | |
| Abhaya PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P020270 | NC | Yes |
Addresses
Primary practice location
3710 University Dr Ste 100
Durham, NC 27707-6208
Mailing address
7417 Longstreet Dr
Raleigh, NC 27615-7616
Phone (914) 329-5636
Other providers in Durham, NC
- Jan Ross
- Jane H. Ross
- Jasmira Ivonte Ross
- Julia Ross
- Julianne Ross
- Meredith Brooke Ross
- Renisha Michelle Ross
- Roman Ross
- Ta-Nisha N Ross
- Wytina Shavonne Ross
All providers in Durham, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.